Individual provider Active NPI

Suzanne O'Rourke, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1346761772
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10256 Issued in AZ
Practice address
2946 E Banner Gateway Dr.
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-3682
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10256 AZ Primary

Addresses

Primary practice location

2946 E Banner Gateway Dr.
Gilbert, AZ 85234

Mailing address

2946 E Banner Gateway Dr.
Gilbert, AZ 85234
Phone (480) 256-6444

Other practice location 1

1821 N Trekell Rd Ste 2
Casa Grande, AZ 85122-1705
Phone (520) 374-2462

Other practice location 2

10503 W Thunderbird Blvd Ste 114
Sun City, AZ 85351-3047
Phone (623) 466-8585

Other practice location 3

6724 S Kings Ranch Rd Ste 104
Gold Canyon, AZ 85118-2962
Phone (480) 982-3337

Other practice location 4

1343 N Alma School Rd Ste 135
Chandler, AZ 85224-5941
Phone (480) 982-3337

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
I20170912002165 AZ Practitioner - Nurse Practitioner 7214200393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians

Practice addresses (Care Compare)

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Hospital & facility affiliations

  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10256AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Jun 23, 2023 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jun 23, 2023 Accepting new patients
Az Dermatology LLC CurrentSince Aug 1, 2020 Accepting new patients
Az Dermatology CurrentSince Aug 1, 2020 Accepting new patients

Locations

1821 N Trekell Rd
Ste 2
Casa Grande, AZ 85122
Phone (520) 316-9317

1343 N Alma School Rd
Ste 135
Chandler, AZ 85224
Phone (480) 444-7472

3930 S Alma School Rd
Ste B
Chandler, AZ 85248
Phone (480) 982-3337

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

6724 S Kings Ranch Rd
Ste 104
Gold Canyon, AZ 85118
Phone (480) 982-3337

4540 E Baseline Rd
Ste 109
Mesa, AZ 85206
Phone (480) 488-3388

10503 W Thunderbird Blvd
Ste 114
Sun City, AZ 85351
Phone (623) 466-8585

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1346761772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 N Trekell Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851221705",
            "country_code": "US",
            "telephone_number": "520-374-2462",
            "fax_number": "520-374-2467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10503 W Thunderbird Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "623-466-8585",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6724 S Kings Ranch Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182962",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Alma School Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245941",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2023-08-10",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.