Jill Provera, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

301662 Issued in AZ

Practice address

3370 S Mercy Rd Ste 314
Gilbert, AZ 85297-0417

Phone

(480) 782-0993

Fax

(833) 337-0386

NPI assigned

Jan 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.provera.1@14294.direct.athenahealth.com

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.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  Medicare reassignment Care Compare group NPD
• Fetal and Women'S Center of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1801822119
  NPD (past)

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1477315323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 E MCNEIL ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445579",
            "telephone_number": "480-431-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 314",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970417",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22711 S Ellsworth Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851426789",
            "country_code": "US",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVERA",
        "first_name": "JILL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "301662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Sleep & Wellness PLLC
• Progressive Wellness, PLC
• Prohealth Integrative Medicine, PLLC
• Larkin Pronty II, OTR/L
• Prosano Health Solutions, Inc.
• Maryah A Provo
• Lynnsie M. Pruett, SLPA
• Dawn P Pruzansky, DMD
• Karin M Pryor, R.D.N
• Gianna M Puccio, M

• Midwife in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.