Individual provider Active NPI

Lionel Vasquez, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1285460303
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240882 Issued in AZ
Practice address
3336 E Chandler Heights Rd Ste 132
Gilbert, AZ 85298-4264
Phone
(480) 988-4645
Fax
(480) 988-4745
NPI assigned
Sep 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 240882 AZ Primary

Addresses

Primary practice location

3336 E Chandler Heights Rd Ste 132
Gilbert, AZ 85298-4264

Mailing address

3336 E Chandler Heights Rd Ste 132
Gilbert, AZ 85298-4264
Phone (480) 988-4645

Other practice location 1

4365 E Pecos Rd Ste 134
Gilbert, AZ 85295-8053
Phone (480) 840-9155

Other practice location 2

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

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
I20240927002311 AZ Practitioner - Nurse Practitioner 0941685077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Oct 14, 2024 Accepting new patients
Sundance Medical Associates PLLC Past Accepting new patients

Locations

4365 E Pecos Rd
Ste 134
Gilbert, AZ 85295
Phone (480) 497-3946

3336 E Chandler Heights Rd
Gilbert, AZ 85298
Phone (480) 813-3636

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

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

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

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1285460303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984264",
            "telephone_number": "480-988-4645",
            "fax_number": "480-988-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984264",
            "telephone_number": "480-988-4645",
            "fax_number": "480-988-4745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4365 E Pecos Rd Ste 134",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958053",
            "country_code": "US",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4135 S Power Rd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852123627",
            "country_code": "US",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LIONEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.