Individual provider Active NPI

Gwenda K Hatcher, NP

  • Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1336700798
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
228154 Issued in AZ
Practice address
7525 E Broadway Rd Ste 2
Mesa, AZ 85208-1154
Phone
(480) 981-9800
Fax
(480) 930-4615
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 228154 AZ Primary

Addresses

Primary practice location

7525 E Broadway Rd Ste 2
Mesa, AZ 85208-1154

Mailing address

7525 E Broadway Rd Ste 2
Mesa, AZ 85208-1154
Phone (480) 981-9800

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
I20190821001616 AZ Practitioner - Nurse Practitioner 7113255761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 231
Scottsdale, AZ 85251-5649
Phone (855) 893-5637

7525 E Broadway Rd
Suite 2
Mesa, AZ 85208-1154
Phone (855) 893-5637

Hospital & facility affiliations

  • Mission Home Health of Phoenix Home health agency, Tempe, AZ, CCN 037433
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Anesthesia and Pain Associates PLLC CurrentSince May 1, 2022 Accepting new patients
Access Wellness Resources CurrentSince Apr 3, 2024 Accepting new patients
Sun Lakes Family Physicians LLC PastSince May 1, 2001 Accepting new patients

Locations

333 N Dobson Rd
Ste 15
Chandler, AZ 85224
Phone (480) 282-8336

7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

4545 E Southern Ave
Ste 103
Mesa, AZ 85206
Phone (480) 827-9945

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208
Phone (480) 981-9800

4600 E Shea Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 955-8700

36543 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 401-1811

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gwenda.hatcher.1@27041.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1336700798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800",
            "fax_number": "480-930-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800",
            "fax_number": "480-930-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "GWENDA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "228154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.