Individual provider Active NPI

Gia Christine Caccavale, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1154098010
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309785 Issued in AZ
Practice address
13995 W Statler Blvd BLDG 1
Surprise, AZ 85374-5501
Phone
(623) 478-3300
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN197408 AZ
Family Nurse Practitioner 363LF0000X 309785 AZ Primary

Addresses

Primary practice location

13995 W Statler Blvd BLDG 1
Surprise, AZ 85374-5501

Mailing address

15800 N Litchfield Rd
Surprise, AZ 85374-5514
Phone (623) 478-3100

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
I20241011002142 AZ Practitioner - Nurse Practitioner 6709318041 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
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

13995 W Statler Blvd
BLDG 1
Surprise, AZ 85374-5501
Phone (623) 478-3100

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Sep 15, 2024 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Sep 15, 2024 Accepting new patients
Banner Childrens Banner Health Clinic LLC PastSince Aug 3, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC PastSince Aug 3, 2025 Accepting new patients

Locations

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

15800 N Litchfield Rd
Ste 150
Surprise, AZ 85374
Phone (623) 478-3100

13995 W Statler Blvd
Bldg 1
Surprise, AZ 85374
Phone (623) 478-3100

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.

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1154098010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 N LITCHFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745514",
            "telephone_number": "623-478-3100",
            "fax_number": "623-478-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13995 W STATLER BLVD BLDG 1",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745501",
            "telephone_number": "623-478-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCAVALE",
        "first_name": "GIA",
        "middle_name": "CHRISTINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN197408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "309785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.