Active NPI
Gabrielle Rose Nesselrode, FNP
- Nurse Practitioner
- Laveen, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RNP262130
- Practice address
- 5316 W Country Garden LN
Laveen, AZ 85339-4520 - Phone
- (724) 496-8229
- NPI assigned
- Nov 1, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RNP262130 | AZ | Primary |
| Nurse Practitioner | 363L00000X | F04210426 | PA |
Addresses
Primary practice location
5316 W Country Garden LN
Laveen, AZ 85339-4520
Mailing address
4690 E Lavender LN
Phoenix, AZ 85044-4824
Phone (724) 496-8229
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Brown Rd
Mesa, AZ 85201-3404
Phone (480) 833-3988
4022 E Presidio St
Mesa, AZ 85215-1113
Phone (480) 985-1093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNP262130 | AZ | MD | Nurse Practitioner |
| F04210426 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Geriatric Associates PLLC | Current | Accepting new patients | |
| Allied Internal Medicine PLLC | Current | Accepting new patients | |
| Wings of Hope Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Lifeline Hospitalist Associates LLC | Current | Accepting new patients | |
| Pain and Palliative Associates of Arizona | Current | Accepting new patients |
Locations
2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700
51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333
215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711
4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
2525 W Beryl Ave
Phoenix, AZ 85021
Phone (602) 424-7967
3811 E Bell Rd
Ste 111
Phoenix, AZ 85032
Phone (602) 675-2585
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304
6100 S Rural Rd
Tempe, AZ 85283
Phone (480) 831-8660
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.
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1265107478
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1669246070
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1124408232
-
- Pain Medicine Physician
- Phoenix, AZ
- NPI 1538723531
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1003282278
Nurse Practitioner
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1063127306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1316602832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4690 E LAVENDER LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444824",
"telephone_number": "724-496-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 W COUNTRY GARDEN LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853394520",
"telephone_number": "724-496-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESSELRODE",
"first_name": "GABRIELLE",
"middle_name": "ROSE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RNP262130",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "F04210426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.