Active NPI
Sandra Sue Gaiser, MSN, FNP
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3680
- Practice address
- 612 W Baseline Rd
Mesa, AZ 85210-6041 - Phone
- (480) 834-9039
- Fax
- (480) 964-7802
- NPI assigned
- Jul 13, 2010
- Last updated
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3680 | AZ | Primary |
| Specialist | 174400000X | RN114205 | AZ |
Addresses
Primary practice location
612 W Baseline Rd
Mesa, AZ 85210-6041
Mailing address
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10301 E Osborn Rd
Scottsdale, AZ 85256-4008
Phone (480) 362-1044
11540 E University Dr
Suite 109
Apache Junction, AZ 85120-4324
Phone (480) 357-5572
135 S Power Rd
Suite 103
Mesa, AZ 85206-5245
Phone (480) 985-4911
22715 S Ellsworth Rd
BLDG G
San Tan Valley, AZ 85142-6130
Phone (480) 677-2463
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039
975 W Chandler Heights Rd
Unit 101
Chandler, AZ 85248-5724
Phone (480) 802-4405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Kidney Associates PLC | Current | Accepting new patients |
Locations
612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170
22715 S Ellsworth Rd
Bldg G
San Tan Valley, AZ 85142
Phone (480) 677-2463
2022 E Prince Rd
Tucson, AZ 85719
Phone (520) 327-0007
Interoperability endpoints
- sgaiser23247@direct.acumenmd.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- Mesa, AZ
- NPI 1144372905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1285946707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852106041",
"telephone_number": "480-834-9039",
"fax_number": "480-964-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852106041",
"telephone_number": "480-834-9039",
"fax_number": "480-964-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAISER",
"first_name": "SANDRA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3680",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "RN114205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.