Individual provider Active NPI

Elizabeth A Shrader, DNP, MSN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1497785489
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5059 Issued in AZ
Practice address
633 E Ray Rd Ste 114
Gilbert, AZ 85296-4205
Phone
(602) 671-3091
Fax
(602) 563-8170
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP5059 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5059 AZ Primary

Addresses

Primary practice location

633 E Ray Rd Ste 114
Gilbert, AZ 85296-4205

Mailing address

633 E Ray Rd Ste 114
Gilbert, AZ 85296-4205
Phone (602) 671-3091

Other practice location 1

633 E Ray Rd Ste 114
Gilbert, AZ 85296-4205
Phone (602) 671-3091 ext. 77583

Other names 1

  • Elizabeth A Serva Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth a Shrader, DNP, PLLC Psychiatric/Mental Health CurrentSince May 11, 2025 Accepting new patients
Tia Arizona LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

633 E Ray Rd
Ste 114
Gilbert, AZ 85296
Phone 6026713091 ext. 77583

1525 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 640-4908

Interoperability endpoints

  • Direct secure messaging: elizabethshraderbellavita@docvilladirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1497785489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964205",
            "telephone_number": "602-671-3091",
            "fax_number": "602-563-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964205",
            "telephone_number": "602-671-3091",
            "fax_number": "602-563-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 E Ray Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852964205",
            "country_code": "US",
            "telephone_number": "602-671-3091 x77583",
            "fax_number": "602-563-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DNP, MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP5059",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SERVA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.