Individual provider Active NPI

Gloria Nyakerario Obaigwa

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1386223329
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
254816 Issued in AZ
Practice address
7525 E Broadway Rd
Mesa, AZ 85208-2002
Phone
(480) 981-4700
NPI assigned
Apr 6, 2021
Last updated
Apr 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 254816 AZ Primary

Addresses

Primary practice location

7525 E Broadway Rd
Mesa, AZ 85208-2002

Mailing address

2623 N Augustine
Mesa, AZ 85207-2051
Phone (602) 579-9451

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
I20210420000671 AZ Practitioner - Nurse Practitioner 0345658993 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Rehab Consultants LLCGroup PAC ID 4385023159, 15 clinicians
Allied Internal Medicine PLLCGroup PAC ID 7315251964, 24 clinicians

Practice addresses (Care Compare)

1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (602) 594-5400

51 S 48TH St
Mesa, AZ 85206-1250
Phone (480) 832-8333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Medical Associates PLC CurrentSince Jan 1, 2022 Accepting new patients
Allied Internal Medicine PLLC CurrentSince Jan 1, 2022 Accepting new patients
Global Wound Care Medical Group CurrentSince May 28, 2024 Accepting new patients
Minghsun Liu, MD PC CurrentSince Jan 6, 2025 Accepting new patients
Az Rehab Consultants, LLC CurrentSince Nov 1, 2025 Accepting new patients
WT Health of Arizona LLC CurrentSince Feb 14, 2025 Accepting new patients
Gain LLC CurrentSince Feb 27, 2022 Accepting new patients
Irc DC Az, LLC PastSince Apr 1, 2021 Accepting new patients
SWPT Incorporated PastSince Apr 1, 2021 Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

3651 E Baseline Rd
Ste E230
Gilbert, AZ 85234
Phone (602) 633-9568

215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711

51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333

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

7525 E Broadway Rd
Ste 9
Mesa, AZ 85208
Phone (480) 835-0660

2525 W Beryl Ave
Phoenix, AZ 85021
Phone (602) 424-7967

3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

Organizations & group practices 9

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1386223329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 N AUGUSTINE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072051",
            "telephone_number": "602-579-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082002",
            "telephone_number": "480-981-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAIGWA",
        "first_name": "GLORIA",
        "middle_name": "NYAKERARIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "254816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.