Individual provider Active NPI

Marie Paul Gatsimbanyi

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1598514986
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
307411 Issued in AZ
Practice address
2228 W Northern Ave Ste B210
Phoenix, AZ 85021-9336
Phone
(480) 444-7447
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 307411 AZ Primary

Addresses

Primary practice location

2228 W Northern Ave Ste B210
Phoenix, AZ 85021-9336

Mailing address

2228 W Northern Ave Ste B210
Phoenix, AZ 85021-9336
Phone (480) 444-7447

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
I20240719000071 AZ Practitioner - Nurse Practitioner 4688110299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

2224 W Northern Ave
Suite B202
Phoeinx, AZ 85021-4928
Phone (480) 963-1853

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307411AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenician Medical Center, Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

2330 N 75th Ave
Ste 10
Phoenix, AZ 85035

515 W Buckeye Rd
Ste 303
Phoenix, AZ 85003
Phone (602) 254-7291

2228 W Northern Ave
Ste B202
Phoenix, AZ 85021
Phone (480) 346-9522

2228 W Northern Ave
Ste B210
Phoenix, AZ 85021
Phone (480) 444-7447

2224 W Northern Ave
Ste B202
Phoenix, AZ 85021

2330 N 75th Ave
Ste 108
Phoenix, AZ 85035
Phone (623) 247-5700

Organizations & group practices 1

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1598514986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 W NORTHERN AVE STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219336",
            "telephone_number": "480-444-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 W NORTHERN AVE STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219336",
            "telephone_number": "480-444-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATSIMBANYI",
        "first_name": "MARIE PAUL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "307411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.