Individual provider Active NPI

Joseph Gingo, MSN, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1063984466
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220431 Issued in AZ
Practice address
3001 N Main St Ste 1B
Prescott Valley, AZ 86314-1215
Phone
(928) 259-5506
Fax
(928) 441-1463
NPI assigned
Dec 23, 2018
Last updated
Jun 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220431 AZ Primary
Emergency Registered Nurse 163WE0003X 178074 AZ

Addresses

Primary practice location

3001 N Main St Ste 1B
Prescott Valley, AZ 86314-1215

Mailing address

3555 S Val Vista Dr
Gilbert, AZ 85297-7323

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
I20190725002558 AZ Practitioner - Nurse Practitioner 0042546251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3001 N Main St
Suite 1B
Prescott Valley, AZ 86314-1215
Phone (928) 259-5506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
178074AZMDEmergency Registered Nurse
220431AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Roomservice-Doctorcare Single Specialty CurrentSince Jun 3, 2019 Accepting new patients
Hometown Healthcare LLC Single Specialty CurrentSince Jan 28, 2022 Accepting new patients
Arizona Adult and Pediatric Medicine PC Single Specialty Past Accepting new patients

Locations

3001 N Main St
Ste B
Prescott Valley, AZ 86314

3001 N Main St
Ste 1B
Prescott Vly, AZ 86314
Phone (928) 259-5506

7010 E Acoma Dr
Ste 102
Scottsdale, AZ 85254
Phone (480) 575-0576

Interoperability endpoints

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

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1063984466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N MAIN ST STE 1B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141215",
            "telephone_number": "928-259-5506",
            "fax_number": "928-441-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGO",
        "first_name": "JOSEPH",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-23",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220431",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "178074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.