Individual provider Active NPI

Mandy Le Gann, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1033952718
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
325656 Issued in AZ
Practice address
9000 W Thunderbird Rd Ste 115
Peoria, AZ 85381-4451
Phone
(623) 253-1226
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 325656 AZ Primary

Addresses

Primary practice location

9000 W Thunderbird Rd Ste 115
Peoria, AZ 85381-4451

Mailing address

9000 W Thunderbird Rd Ste 115
Peoria, AZ 85381-4451
Phone (623) 253-1226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250808002856 AZ Practitioner - Nurse Practitioner 7012415094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

335 E Germann Rd
Suite 301
Gilbert, AZ 85297-2924
Phone (888) 374-5066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince Jun 25, 2025 Accepting new patients

Locations

335 E Germann Rd
Ste 301
Gilbert, AZ 85297
Phone (405) 312-8816

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

9000 W Thunderbird Rd
Ste 115
Peoria, AZ 85381
Phone (623) 253-1226

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1033952718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W THUNDERBIRD RD STE 115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814451",
            "telephone_number": "623-253-1226",
            "fax_number": "623-889-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W THUNDERBIRD RD STE 115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814451",
            "telephone_number": "623-253-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "MANDY",
        "middle_name": "LE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "325656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.