Individual provider Active NPI

Ashley Gonzalez Medrano

  • Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1497309330
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224697 Issued in AZ
Practice address
823 N San Francisco St
Flagstaff, AZ 86001-3294
Phone
(520) 244-0089
NPI assigned
Jul 29, 2019
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224697 AZ Primary

Addresses

Primary practice location

823 N San Francisco St
Flagstaff, AZ 86001-3294

Mailing address

23055 E Calle de Flores
Queen Creek, AZ 85142-1259
Phone (602) 793-8733

Other practice location 1

222 S Mill Ave
Tempe, AZ 85281-2889
Phone (602) 403-2110

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
I20231110000458 AZ Practitioner - Nurse Practitioner 8921455072 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagstaff Pain and Treatment CenterGroup PAC ID 0749691038, 13 clinicians

Practice addresses (Care Compare)

1076 W Chandler Blvd
Suite 111
Chandler, AZ 85224-5224
Phone (877) 448-3627

823 N San Francisco St
Suite a
Flagstaff, AZ 86001-3265
Phone (480) 213-8488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224697AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Pain & Treatment Center CurrentSince Dec 21, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Dec 23, 2025 Accepting new patients
Pallicare, Inc Nurse Practitioner CurrentSince Jan 7, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Dec 23, 2025 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 111
Chandler, AZ 85224

823 N San Francisco St
Flagstaff, AZ 86001
Phone (520) 244-0089

823 N San Francisco St
Ste A
Flagstaff, AZ 86001
Phone (480) 213-8488

823 N San Francisco St
Ste F
Flagstaff, AZ 86001
Phone (520) 244-0089

13657 W McDowell Rd
Ste 118
Goodyear, AZ 85395
Phone (623) 328-7794

5901 E McKellips Rd
Ste 105
Mesa, AZ 85215

15215 S 48th St
Ste 160
Phoenix, AZ 85044

2111 E Highland Ave
Ste B426
Phoenix, AZ 85016
Phone (972) 833-4573

610 E Baseline Rd
Tempe, AZ 85283
Phone (480) 969-0405

2001 W Orange Grove Rd
Ste 408
Tucson, AZ 85704
Phone (520) 297-6125

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Interoperability endpoints

  • Direct secure messaging: ahley.ross.p1@direct.itsofaz.nextgenshare.com
  • Direct secure messaging: ashley.ross.1@26850.direct.athenahealth.com

Organizations & group practices 5

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1497309330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23055 E CALLE DE FLORES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421259",
            "telephone_number": "602-793-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013294",
            "telephone_number": "520-244-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852812889",
            "country_code": "US",
            "telephone_number": "602-403-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MEDRANO",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "224697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.