Kelvin Gaskins, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10189 Issued in AZ

Practice address

3227 E. Bell Rd Ste 170
Phoenix, AZ 85032-7994

Phone

(602) 652-3500

Fax

(602) 652-3582

NPI assigned

Jun 5, 2017

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Male

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

85.03

Promoting interoperability

99

Improvement activities

40

Cost

90.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Southwest Network

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1104856004
  Medicare reassignment Care Compare group NPD
• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holbrook, AZ
  • NPI 1205877610
  Medicare reassignment
• Southwest Network, Inc.

  dba Southwest Network

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1487981338
  NPD
• Southwest Network, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1952542078
  NPD
• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winslow, AZ
  • NPI 1750525978
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1497284335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-266-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 E. BELL RD STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327994",
            "telephone_number": "602-652-3500",
            "fax_number": "602-652-3582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Show Low Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017994",
            "country_code": "US",
            "telephone_number": "928-537-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASKINS",
        "first_name": "KELVIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Garza, AUD
• Myliea A Garza
• Stacy Garza, LPC
• Sharon Gasch, RN
• Elaine Gaskin
• Justin Gasparini, MS
• Kara Gasperone, LMFT
• Leah R Gass, P.T., M.S.P.T
• Lawrence P Gassner, MD
• Lisa Marie Gastaldi, LIAC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.