Individual provider Active NPI

Racquel Pilar Galvan, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1083488308
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
299837 Issued in AZ
Practice address
4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone
(480) 751-3091
Fax
(480) 751-3095
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 299837 AZ Primary

Addresses

Primary practice location

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627

Mailing address

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone (480) 751-3091

Other practice location 1

21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995
Phone (480) 987-5525

Other practice location 2

3552 W Baseline Rd Ste 240
Laveen, AZ 85339-3042
Phone (602) 635-6941

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
I20240108000887 AZ Practitioner - Nurse Practitioner 3779934401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

3552 W Baseline Rd
Suite 140
Laveen, AZ 85339-3042
Phone (602) 635-6941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299837AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Jan 2, 2024 Accepting new patients
Sundance Medical Associates PLLC Past Accepting new patients

Locations

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941

3552 W Baseline Rd
Ste 240
Laveen, AZ 85339
Phone (602) 635-6941

4135 S Power Rd
Ste 129
Mesa, AZ 85212
Phone (480) 751-3091

4135 S Power Rd
Ste 129120
Mesa, AZ 85212

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

21321 E Ocotillo Rd
Ste 133
Queen Creek, AZ 85142
Phone (480) 900-7256

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1083488308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123627",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123627",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21321 E Ocotillo Rd Ste 133",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425995",
            "country_code": "US",
            "telephone_number": "480-987-5525",
            "fax_number": "480-987-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3552 W Baseline Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853393042",
            "country_code": "US",
            "telephone_number": "602-635-6941",
            "fax_number": "602-635-6952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "RACQUEL",
        "middle_name": "PILAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "299837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.