Active NPI
Dina Marie Gibson, FNP
- Family Nurse Practitioner
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11376
- Practice address
- 13640 N 99TH Ave
Sun City, AZ 85351-2866 - Phone
- (623) 972-2116
- Fax
- (623) 972-0521
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP11376 | AZ | Primary |
Addresses
Primary practice location
13640 N 99TH Ave
Sun City, AZ 85351-2866
Mailing address
3260 N Hayden Rd Ste 112
Scottsdale, AZ 85251-6650
Phone (602) 264-9100
Other practice location 1
14869 W Bell Rd Ste 100
Surprise, AZ 85374-7608
Phone (623) 972-2116
Other practice location 2
9836 W Yearling Rd # F1300-B
Peoria, AZ 85383-1376
Phone (623) 972-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462066 | Medicaid | AZ |
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
Enrollment records 1
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
- Group practices
Practice addresses (Care Compare)
13640 N 99TH Ave
Suite 600
Sun City, AZ 85351-2867
Phone (623) 972-2116
Hospital & facility affiliations
- Banner Boswell Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Super Specialists LLC | Current | Accepting new patients | |
| Az Care Anesthesia , PLC | Current | Accepting new patients |
Locations
755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111
1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180
1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700
13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1740650555
-
- Anesthesiology Physician
- Sun City, AZ
- NPI 1043642796
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1063998912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 N HAYDEN RD STE 112",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516650",
"telephone_number": "602-264-9100",
"fax_number": "602-264-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 N 99TH AVE",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512866",
"telephone_number": "623-972-2116",
"fax_number": "623-972-0521"
}
],
"practiceLocations": [
{
"address_1": "14869 W Bell Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853747608",
"country_code": "US",
"telephone_number": "623-972-2116",
"fax_number": "623-972-0521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9836 W Yearling Rd # F1300-B",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853831376",
"country_code": "US",
"telephone_number": "623-972-2116",
"fax_number": "623-972-0521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "DINA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462066",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.