Individual provider Active NPI

Ann Marie Garibaldi, PA-C

  • Physician Assistant
  • Kingman, AZ
National Provider Identifier
1235314089
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4249 Issued in AZ
Practice address
2226 Hualapai Mountain Rd Ste 101
Kingman, AZ 86401-8374
Phone
(928) 681-8530
Fax
(928) 681-8714
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1953 AK
Physician Assistant 363A00000X 4249 AZ Primary

Addresses

Primary practice location

2226 Hualapai Mountain Rd Ste 101
Kingman, AZ 86401-8374

Mailing address

1739 E Beverly Ave Ste 200
Kingman, AZ 86409-3593
Phone (928) 263-4722

Other practice location 1

4320 Diplomacy Dr
Attn Sherry Reedy
Anchorage, AK 99508-5925
Phone (907) 729-3971

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
I20081210000724 AZ Practitioner - Physician Assistant 3476631573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Health of Arizona PLLCGroup PAC ID 7517452022, 4 clinicians

Practice addresses (Care Compare)

11812 N 19TH Ave
Phoenix, AZ 85029-3536
Phone (602) 900-8828

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1953AKMDPharmacist
790AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc CurrentSince Aug 17, 2010 Accepting new patients
Chestnut Health of Arizona PLLC CurrentSince Oct 6, 2025 Accepting new patients
Kingman Healthcare, Inc Physician Assistant CurrentSince Aug 17, 2010 Accepting new patients
Hualapai Emergency Physician Partners PLLC Past Accepting new patients

Locations

1739 E Beverly Ave
Ste 118
Kingman, AZ 86409
Phone (928) 681-5800

1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303

3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000

2202 N Stockton Hill Rd
Ste 101
Kingman, AZ 86401
Phone (619) 321-9541

2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8530

3801 Santa Rosa Dr
Ste 400
Kingman, AZ 86401
Phone (928) 681-8530

1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722

2002 N Stockton Hill Rd
Ste 103
Kingman, AZ 86401
Phone (602) 526-0848

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

11812 N 19th Ave
Phoenix, AZ 85029
Phone (602) 833-4177

Organizations & group practices 6

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1235314089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE STE 200",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-263-4722",
            "fax_number": "928-263-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 HUALAPAI MOUNTAIN RD STE 101",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018374",
            "telephone_number": "928-681-8530",
            "fax_number": "928-681-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Diplomacy Dr",
            "address_2": "ATTN SHERRY REEDY",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085925",
            "country_code": "US",
            "telephone_number": "907-729-3971",
            "fax_number": "907-729-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARIBALDI",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.