Individual provider Active NPI

Gerry Ventura, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1073361416
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
305772 Issued in AZ
Practice address
4727 E Union Hills Dr Ste 100
Phoenix, AZ 85050-3387
Phone
(480) 676-2845
NPI assigned
May 9, 2024
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 305772 AZ Primary

Addresses

Primary practice location

4727 E Union Hills Dr Ste 100
Phoenix, AZ 85050-3387

Mailing address

4727 E Union Hills Dr Ste 100
Phoenix, AZ 85050-3387
Phone (480) 676-2845

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
I20241118002194 AZ Practitioner - Nurse Practitioner 4385178060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305772AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Medical PLLC CurrentSince Oct 21, 2024 Accepting new patients
Aztec Healthcare, Inc. Past Accepting new patients

Locations

3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297
Phone (480) 821-9339

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

4727 E Union Hills Dr
Ste 100
Phoenix, AZ 85050
Phone (480) 676-2845

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22282/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1073361416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E UNION HILLS DR STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503387",
            "telephone_number": "480-676-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 E UNION HILLS DR STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503387",
            "telephone_number": "480-676-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "GERRY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "305772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.