Individual provider Active NPI

Kelli Chase Gill, DNP, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1033681283
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
320825 Issued in AZ
Practice address
1010 E McDowell Rd Ste 101
Phoenix, AZ 85006-2607
Phone
(602) 900-9404
NPI assigned
Dec 28, 2018
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 320825 AZ Primary

Addresses

Primary practice location

1010 E McDowell Rd Ste 101
Phoenix, AZ 85006-2607

Mailing address

1010 E McDowell Rd Ste 101
Phoenix, AZ 85006-2607
Phone (602) 900-9404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

603 W Keats Ave
Mesa, AZ 85210-6806

9097 E Desert Cove Ave
Suite 200
Scottsdale, AZ 85260-6280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Ear, Nose, and Throat, P.C. CurrentSince Jun 19, 2024 Accepting new patients
Valley ENT, PC CurrentSince Aug 1, 2025 Accepting new patients
Mid-South Ear, Nose, and Throat, P.C. CurrentSince Jun 19, 2024 Accepting new patients
North Internal Medicine, P. C. PastSince Nov 9, 2020 Accepting new patients
Northern Arizona Ear Nose and Throat PC PastSince Sep 1, 2001 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

1300 N Rim Dr
Ste B
Flagstaff, AZ 86001
Phone (928) 556-9200

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

8752 E Via de Commercio
Ste 1
Scottsdale, AZ 85258
Phone (480) 423-3150

9097 E Desert Cove Ave
Ste 200
Scottsdale, AZ 85260
Phone (480) 614-5406

9097 E Desert Cove Ave
Ste 250
Scottsdale, AZ 85260
Phone (480) 614-0499

395 N Silverbell Rd
Ste 201
Tucson, AZ 85745
Phone 5207922170 ext. 48061

7378 Yale Rd
Bartlett, TN 38133
Phone (901) 387-0193

7600 Wolf River Blvd
Ste 120
Germantown, TN 38138

7600 Wolf River Blvd
Ste 220
Germantown, TN 38138

Interoperability endpoints

  • Direct secure messaging: kelli.gill.1@25544.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1033681283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062607",
            "telephone_number": "602-900-9404",
            "fax_number": "833-535-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062607",
            "telephone_number": "602-900-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KELLI",
        "middle_name": "CHASE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "320825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.