Individual provider Active NPI

Nicole Renee Dellairo, PA

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1013229806
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6037 Issued in AZ
Practice address
10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321
Phone
(480) 889-1573
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106627 FL
Physician Assistant 363A00000X 6037 AZ Primary
Physician Assistant 363A00000X 014040 NY

Addresses

Primary practice location

10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321

Mailing address

Dept 3038 PO Box 4417
Houston, TX 77210-4417
Phone (610) 644-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140114000233 FL Practitioner - Physician Assistant 8325235765 Reassigns benefits to 1 organization
I20150725012751 AZ Practitioner - Physician Assistant 8325235765 Reassigns benefits to 7 organizations
I20191024000379 TX Practitioner - Physician Assistant 8325235765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cai NCP East Mesa JV LLCGroup PAC ID 2264847466, 4 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Suite 501
Mesa, AZ 85209-3321
Phone (480) 889-1573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014040NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ronin Medical Consultants, PLLC CurrentSince Jun 18, 2023 Accepting new patients
Ton Sells Hospital CurrentSince Aug 5, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 15, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Dec 15, 2025 Accepting new patients
Tri-City Express Care, PLLC CurrentSince May 21, 2015 Accepting new patients
Dra Imaging, PC Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Hudson Valley Emergency Medicine PLLC Past Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Cardiojost, PLLC Past Accepting new patients

Locations

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

10238 E Hampton Ave
Ste 501
Mesa, AZ 85209
Phone 4808891573122

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHECDD/Endpoint/EHECDD

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1013229806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3038 PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093321",
            "telephone_number": "480-889-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAIRO",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106627",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6037",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.