Active NPI
Erin Cisewski, PA-C
- Physician Assistant
- Queen Creek, AZ
National Provider Identifier
1679236772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9441
- Practice address
- 37200 N Gantzel Rd Ste 200
Queen Creek, AZ 85140-7385 - Phone
- (480) 684-3747
- NPI assigned
- Oct 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9441 | AZ | Primary |
Addresses
Primary practice location
37200 N Gantzel Rd Ste 200
Queen Creek, AZ 85140-7385
Mailing address
32629 N Cherry Creek Rd
Queen Creek, AZ 85144-6745
Phone (303) 667-0983
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9441 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Physician Assistant | Current | Accepting new patients |
Locations
1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020
37200 N Gantzel Rd
Ste 200
San Tan Valley, AZ 85140
Phone (480) 684-3747
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": "1634342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1679236772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32629 N CHERRY CREEK RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851446745",
"telephone_number": "303-667-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37200 N GANTZEL RD STE 200",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851407385",
"telephone_number": "480-684-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISEWSKI",
"first_name": "ERIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-16",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.