NPIMap

Individual provider Active NPI

Charlene A Gundry, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1366637456
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN080667 Issued in AZ
Practice address
15921 W Ajo Way
Tucson, AZ 85735
Phone
(520) 625-3691
Fax
(520) 822-2335
NPI assigned
Sep 11, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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 RN080667 AZ Primary

Addresses

Primary practice location

15921 W Ajo Way
Tucson, AZ 85735

Mailing address

81 W Esperanza Blvd
Ste 201
Green Valley, AZ 85614-2667
Phone (520) 625-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000895 AZ Practitioner - Nurse Practitioner 4789779356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Post-Acute Medical Services 1 PCGroup PAC ID 4688951239, 18 clinicians

Practice addresses (Care Compare)

500 W Camino Encanto
Green Valley, AZ 85614-6113
Phone (850) 399-3620

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Aug 31, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Apr 1, 2017 Accepting new patients
NM Pacs 2 LLC CurrentSince Dec 1, 2021 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients
United Community Health Center - Maria Auxiliadora, Inc. Past Accepting new patients
United Community Health Center - Maria Auxiliadora, Inc. Past Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients
Agape Hospice & Palliative Care, LLC PastSince Nov 12, 2012 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. PastSince Jun 23, 2025 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients

Locations

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

2509 N 24th St
Phoenix, AZ 85008
Phone (602) 273-1347

3411 N 5th Ave
Ste 209
Phoenix, AZ 85013

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

2001 N Park Ave
Tucson, AZ 85719
Phone (520) 882-3558

2312 N Rosemont Blvd
Ste 103
Tucson, AZ 85712
Phone (520) 232-9797

5055 E Broadway Blvd
Ste C214
Tucson, AZ 85711
Phone (520) 529-8387

Interoperability endpoints

  • Direct secure messaging: charlene.gundry.1@31833.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1366637456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 W ESPERANZA BLVD",
            "address_2": "STE 201",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142667",
            "telephone_number": "520-625-4401",
            "fax_number": "520-625-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85735",
            "telephone_number": "520-625-3691",
            "fax_number": "520-822-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDRY",
        "first_name": "CHARLENE",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN080667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.