Derek Marrongelle, DACM, L.AC., CCN
Derek Marrongelle, DACM, L.AC., CCN is a provider specialising in Acupuncturist in Phoenix, AZ, registered under NPI 1417581539. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 16421 N TATUM BLVD STE 210, Phoenix, AZ 85032. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LAC-010133 | AZ | Acupuncturist primary |
| 5063 | Nutritionist |
This provider holds licence LAC-010133 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Acupuncturist covers
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. NUCC Health Care Provider Taxonomy, code 171100000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 171100000X | Acupuncturist | LAC-010133 | AZ | primary |
| 133N00000X | Nutritionist | 5063 | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417581539 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 27, 2020 |
| Last updated | Aug 25, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | DACM, L.AC., CCN |
| Practice address |
16421 N TATUM BLVD STE 210 Phoenix, AZ 85032 (570) 617-9005 |
| Mailing address |
113 PINE CREEK DR Orwigsburg, PA 17961 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 5 | 8 | 1 | 5 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 1 | 8 | 2 | 5 | 6 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.