Individual provider Active NPI

Geoff Ross Ibe, FNP-BC

  • Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1679235808
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
265209 Issued in AZ
Practice address
16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702
Phone
(602) 844-4855
Fax
(480) 900-8478
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 265209 AZ Primary
Primary Care Nurse Practitioner 363LP2300X 265209 AZ
Pediatric Nurse Practitioner 363LP0200X 265209 AZ

Addresses

Primary practice location

16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702

Mailing address

16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702
Phone (602) 844-4855

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
I20211110000994 AZ Practitioner - Nurse Practitioner 7214326461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Rehab Consultants LLCGroup PAC ID 4385023159, 15 clinicians

Practice addresses (Care Compare)

1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (602) 594-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265209AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Az Rehab Consultants, LLC CurrentSince Apr 1, 2023 Accepting new patients
Primary Concierge LLC Nurse Practitioner Current Accepting new patients
Phoenix Emergency Physicians LLC Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Bloomkidz Inc. Pediatrics PastSince Jul 21, 2024 Accepting new patients
Bloomkidz Inc. Pediatrics PastSince Jun 1, 2022 Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

3000 N 91st Ave
Phoenix, AZ 85037
Phone (623) 281-3070

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1679235808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-619",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "602-844-4855",
            "fax_number": "480-900-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-619",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "602-844-4855",
            "fax_number": "480-900-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBE",
        "first_name": "GEOFF",
        "middle_name": "ROSS",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "265209",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "265209",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "265209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.