Individual provider Active NPI

Susan Gerold-Terraza, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1467115246
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
263291 Issued in AZ
Practice address
10238 E Hampton Ave Ste 508
Mesa, AZ 85209-3321
Phone
(480) 834-7546
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RNP263291 AZ
Family Nurse Practitioner 363LF0000X 263291 AZ Primary

Addresses

Primary practice location

10238 E Hampton Ave Ste 508
Mesa, AZ 85209-3321

Mailing address

351 W Amoroso Dr
Gilbert, AZ 85233-7301
Phone (480) 522-0321

Other practice location 1

351 W Amoroso Dr
Gilbert, AZ 85233-7301
Phone (480) 522-0321

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gilbert

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220216001360 TX Practitioner - Nurse Practitioner 8426441320 Reassigns benefits to 1 organization
I20220623001450 AZ Practitioner - Nurse Practitioner 8426441320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHG of Arizona PC 18 clinicians
Gila River Health Care Corporation 245 clinicians

Practice addresses (Care Compare)

1855 N Stapley Dr
Mesa, AZ 85203-3002
Phone (480) 834-7546

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

Hospital & facility affiliations

  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP263291AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care CurrentSince Jan 25, 2022 Accepting new patients
RHG of Arizona, PC Family Medicine CurrentSince Dec 23, 2024 Accepting new patients
Gila River Health Care Corporation CurrentSince Jan 25, 2022 Accepting new patients
Heritage Technologies, LLC Family Medicine CurrentSince Jun 14, 2022 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients

Locations

5656 S Power Rd
Ste 126
Gilbert, AZ 85295

1855 N Stapley Dr
Mesa, AZ 85203
Phone (480) 545-0031

10238 E Hampton Ave
Ste 508
Mesa, AZ 85209
Phone (480) 358-6187

1492 S Mill Ave
Ste 101
Tempe, AZ 85281
Phone (480) 257-2740

Interoperability endpoints

  • Direct secure messaging: susan.gerold-terraza.1@32866.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1467115246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W AMOROSO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337301",
            "telephone_number": "480-522-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 508",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093321",
            "telephone_number": "480-834-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W Amoroso Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852337301",
            "country_code": "US",
            "telephone_number": "480-522-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEROLD-TERRAZA",
        "first_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "RNP263291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "263291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gilbert",
            "affiliation": "N",
            "address_1": "351 W Amoroso Dr",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852337301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.