Individual provider Active NPI

Ethel Oluyemisi Winfunke-Rochin, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1588052823
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
TAP7488 Issued in AZ
Practice address
3271 E Queen Creek Rd Ste 100
Gilbert, AZ 85297-8508
Phone
(480) 593-3563
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP7488 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TAP7488 AZ Primary

Addresses

Primary practice location

3271 E Queen Creek Rd Ste 100
Gilbert, AZ 85297-8508

Mailing address

24871 S Ellsworth Rd Ste 100
Queen Creek, AZ 85142-1575
Phone (480) 593-3563

Other names 1

  • Ethel Oluyemisi Winfunke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ID2 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
I20161003001520 AZ Practitioner - Nurse Practitioner 5496042665 Reassigns benefits to 2 organizations
I20251104003940 ID Practitioner - Nurse Practitioner 5496042665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 N Priest Dr
Tempe, AZ 85281-1213

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP7488AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healthy Minds and Telemedicine Wellness LLC Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Resilient Health, Inc. CurrentSince Aug 3, 2022 Accepting new patients
Serenity Healthy Minds and Telemedicine Wellness LLC Psychiatric/Mental Health CurrentSince Sep 30, 2025 Accepting new patients
Resilient Health, Inc. CurrentSince Aug 3, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Resilient Health, Inc. Current Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Resilient Health, Inc. Past Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients

Locations

3271 E Queen Creek Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 550-3193

3271 E Queen Creek Rd
Ste 100
Gilbert, AZ 85297
Phone (480) 593-3563

1415 N 1st St
Phoenix, AZ 85004
Phone (602) 302-7815

2255 W Northern Ave
Phoenix, AZ 85021
Phone (602) 242-1238

2255 W Northern Ave
Ste B100
Phoenix, AZ 85021

24871 S Ellsworth Rd
Ste 100
Queen Creek, AZ 85142
Phone (480) 979-8273

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

Interoperability endpoints

  • Direct secure messaging: ethel.winfunke.1@24259.direct.athenahealth.com

Organizations & group practices 9

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1588052823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24871 S ELLSWORTH RD STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421575",
            "telephone_number": "480-593-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 E QUEEN CREEK RD STE 100",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978508",
            "telephone_number": "480-593-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFUNKE-ROCHIN",
        "first_name": "ETHEL",
        "middle_name": "OLUYEMISI",
        "name_prefix": "Ms.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP7488",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "TAP7488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHEL",
            "last_name": "WINFUNKE",
            "middle_name": "OLUYEMISI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.