Individual provider Active NPI

Gabrielle Rose Nesselrode, FNP

  • Nurse Practitioner
  • Laveen, AZ
National Provider Identifier
1316602832
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RNP262130 Issued in AZ
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

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220124001290 AZ Practitioner - Nurse Practitioner 2365834470 Reassigns benefits to 5 organizations

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
Lifeline Hospitalist Associates LLCGroup PAC ID 3577961606, 17 clinicians
Arizona Post Acute Care Specialists LLCGroup PAC ID 8527599281, 9 clinicians

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

LicenseStateTypeSpecialty
RNP262130AZMDNurse Practitioner
F04210426PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Geriatric Associates PLLC CurrentSince Mar 14, 2026 Accepting new patients
Allied Internal Medicine PLLC CurrentSince Jan 1, 2022 Accepting new patients
Wings of Hope Medical Services, LLC Nurse Practitioner CurrentSince Jun 10, 2024 Accepting new patients
Lifeline Hospitalist Associates LLC CurrentSince Aug 14, 2024 Accepting new patients
Pain and Palliative Associates of Arizona CurrentSince Mar 14, 2026 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.

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

Verify at the official NPI Registry.