Individual provider Active NPI

Erin Cisewski, PA-C

  • Physician Assistant
  • Queen Creek, AZ
National Provider Identifier
1679236772
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9441 Issued in AZ
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

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121001211 AZ Practitioner - Physician Assistant 5294212346 Reassigns benefits to 1 organization

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
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

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

LicenseStateTypeSpecialty
9441AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Physician Assistant CurrentSince Dec 12, 2025 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

Verify at the official NPI Registry.