Derek Marrongelle, DACM, L.AC., CCN
NPI 1417581539ActiveIndividual· Acupuncturist· Phoenix, AZ
Acupuncturist (DACM, L.AC., CCN) in Phoenix, Arizona, licensed in AZ, with an NPI issued in February 2020.
Overview
| NPI | 1417581539 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DACM, L.AC., CCN |
| Sole proprietor | No |
| NPI issued | Feb 27, 2020 |
| Last updated in NPPES | Aug 25, 2020 |
| Certified by provider | Aug 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | LAC-010133 | AZ |
| Nutritionist | 133N00000X | 5063 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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