Individual provider Active NPI

Philip Michael Gallinaro, APRN, FNP-BC

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1043476740
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
868097 Issued in NV
Practice address
8572 W Purdue Ave
Peoria, AZ 85345-5349
Phone
(602) 653-7816
NPI assigned
Aug 1, 2008
Reactivated
Jun 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Family Nurse Practitioner 363LF0000X 868097 NV Primary

Addresses

Primary practice location

8572 W Purdue Ave
Peoria, AZ 85345-5349

Mailing address

9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464
Phone (602) 653-7816

Other practice location 1

9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464
Phone (602) 653-7816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250512003167 AZ Practitioner - Nurse Practitioner 4082048467 Reassigns benefits to 2 organizations
I20250813003497 NV Practitioner - Nurse Practitioner 4082048467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2222 W Parkside LN
Suite 109
Phoenix, AZ 85027-1260
Phone (602) 296-4717

8572 W Purdue Ave
Peoria, AZ 85345-5349
Phone (602) 653-7816

9183 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-6464
Phone (602) 653-7816

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
868097NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospice & Palliative Care of Arizona LLC CurrentSince Sep 1, 2025 Accepting new patients
NP Pulseonthego House Calls PLLC Family CurrentSince Mar 26, 2025 Accepting new patients
Sierra Hospice & Palliative Care of Nevada LLC CurrentSince Aug 8, 2022 Accepting new patients
Transport Plus Non-Emergency Medical Transport (Van) Past Accepting new patients
Capable Hands Adult Care Inc. Past Accepting new patients

Locations

2222 W Parkside Ln
Ste 109
Phoenix, AZ 85027
Phone (602) 296-4717

9183 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (602) 653-7816

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
United Hospice & Palliative Care of Arizona LLCPhoenix, AZ, CCN 031709 Hospice 5% Or Greater Direct Ownership Interest (10%)
W-2 Managing Employee (10%)
Nov 10, 2019
Nov 10, 2019
Sierra Hospice & Palliative Care of Nevada LLCLas Vegas, NV, CCN 291655 Hospice 5% Or Greater Direct Ownership Interest (15%)
Operational/Managerial Control (15%)
Aug 8, 2022
Aug 8, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1043476740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9183 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476464",
            "telephone_number": "602-653-7816",
            "fax_number": "702-975-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8572 W PURDUE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455349",
            "telephone_number": "602-653-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9183 W Flamingo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891476464",
            "country_code": "US",
            "telephone_number": "602-653-7816",
            "fax_number": "702-975-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLINARO",
        "first_name": "PHILIP",
        "middle_name": "MICHAEL",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "deactivation_date": "2024-06-11",
        "reactivation_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "868097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.