Active NPI
Philip Michael Gallinaro, APRN, FNP-BC
- Family Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 868097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 868097 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospice & Palliative Care of Arizona LLC | Current | Accepting new patients | |
| NP Pulseonthego House Calls PLLC | Family | Current | Accepting new patients |
| Sierra Hospice & Palliative Care of Nevada LLC | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| United Hospice & Palliative Care of Arizona LLC | 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 LLC | 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.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1114562907
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1811625056
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
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.
-
- Family Nurse Practitioner
- Peoria, AZ
- NPI 1235931163
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1114562907
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1811625056
-
- Assisted Living Facility
- Peoria, AZ
- NPI 1538325790
-
- Non-emergency Medical Transport (VAN)
- Peoria, AZ
- NPI 1538495676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.