Individual provider Active NPI

Margaret Gaidamavicius

  • Primary Care Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1346091188
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.029356 Issued in IL
Practice address
585 N Juniper Dr Ste 200
Chandler, AZ 85226-2559
Phone
(480) 499-8700
NPI assigned
Mar 29, 2024
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.029356 IL Primary

Addresses

Primary practice location

585 N Juniper Dr Ste 200
Chandler, AZ 85226-2559

Mailing address

9558 W Gambit TRL
Peoria, AZ 85383-8724
Phone (630) 301-4770

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
I20251001001748 AZ Practitioner - Nurse Practitioner 7810418597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

585 N Juniper Dr
Suite 150
Chandler, AZ 85226-2560

9558 W Gambit TRL
Peoria, AZ 85383-8724

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.029356ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azpc Clinics, LLC CurrentSince Jul 5, 2025 Accepting new patients
Arizona Health Advantage Inc. CurrentSince Sep 8, 2025 Accepting new patients

Locations

585 N Juniper Dr
Ste 200
Chandler, AZ 85226
Phone (480) 499-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1346091188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9558 W GAMBIT TRL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838724",
            "telephone_number": "630-301-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N JUNIPER DR STE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262559",
            "telephone_number": "480-499-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDAMAVICIUS",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.029356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.