MEDICARE: ELEV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1992663991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEV

Provider Business Mailing Address
First Line	:	3222 W BAJADA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-5823
Country	:	US
Telephone Number	:	623-205-6473
Fax Number	:

Provider Business Practice Location Address
First Line	:	3222 W BAJADA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-5823
Country	:	US
Telephone Number	:	623-205-6473
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. KRISTIN NICHOLE MARTH
Credential	:	FNP-C
Telephone Number	:	623-205-6473

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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Directions to “ELEV ” Practice Location

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