Individual provider Active NPI

Daniel James Gast, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1255190443
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
305142 Issued in AZ
Practice address
8074 W Mission LN
Peoria, AZ 85345-4815
Phone
(602) 281-5927
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 305142 AZ Primary

Addresses

Primary practice location

8074 W Mission LN
Peoria, AZ 85345-4815

Mailing address

8074 W Mission LN
Peoria, AZ 85345-4815
Phone (602) 281-5927

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
I20240627001517 AZ Practitioner - Nurse Practitioner 5496299778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Peoria, AZ 85345-5470
Phone (602) 636-4605

11361 N 99TH Ave
Suite 402
Peoria, AZ 85345-5459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MD Homecare LLC CurrentSince May 10, 2024 Accepting new patients
Umbrella Medical LLC Psychiatric/Mental Health PastSince Jan 12, 2025 Accepting new patients

Locations

9225 N 3rd St
Ste 203
Phoenix, AZ 85020
Phone (602) 362-2983

Interoperability endpoints

  • Direct secure messaging: daniel.gastrnbht.p1@direct.cbridges.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/21147/brand/1/csg/1/fhir/r4

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, 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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1255190443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 W MISSION LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454815",
            "telephone_number": "602-281-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 W MISSION LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454815",
            "telephone_number": "602-281-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAST",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "305142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.