Individual provider Active NPI

Joan Cacciola, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1700147337
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4753 Issued in AZ
Practice address
6015 E Brown Rd
Mesa, AZ 85205-4452
Phone
(866) 389-2727
Fax
(401) 216-2854
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN192031 MT
Family Nurse Practitioner 363LF0000X 116176 NE
Family Nurse Practitioner 363LF0000X A180917 IA
Family Nurse Practitioner 363LF0000X 2025006216 MO
Family Nurse Practitioner 363LF0000X 1156849 TX
Family Nurse Practitioner 363LF0000X 53-80917041 KS
Family Nurse Practitioner 363LF0000X 225049 OK
Family Nurse Practitioner 363LF0000X APRN11024473 FL
Family Nurse Practitioner 363LF0000X 2533264 MN
Family Nurse Practitioner 363LF0000X 224071 LA
Family Nurse Practitioner 363LF0000X RN194978 MA
Family Nurse Practitioner 363LF0000X 4704430626 MI
Family Nurse Practitioner 363LF0000X AP4753 AZ Primary
Family Nurse Practitioner 363LF0000X 234118 AR
Family Nurse Practitioner 363LF0000X 71016971A IN

Addresses

Primary practice location

6015 E Brown Rd
Mesa, AZ 85205-4452

Mailing address

955 N Jackson St
Chandler, AZ 85225-3855
Phone (401) 765-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, MA, WA, FL, NM, NJ, KS, NY, UT, WI, MN, MO, HI, IN15 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 15

Enrollment IDStateProvider typePAC IDDetails
I20130128000296 AZ Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 2 organizations
I20190122001324 TX Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20220525002781 MA Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 3 organizations
I20240725003820 WA Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240730004201 FL Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240730004312 NM Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240802003118 NJ Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240806000404 KS Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240809001608 NY Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240821000415 UT Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20240927002067 WI Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 2 organizations
I20250501000841 MN Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20250507001871 MO Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20250530000556 HI Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization
I20250918003679 IN Practitioner - Nurse Practitioner 0840444824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Practice addresses (Care Compare)

1466 W Oak St
Zionsville, IN 46077-1800
Phone (866) 389-2727

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as group
Quality
73.41
Improvement activities
40
Cost
81.45

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234118ARMDFamily Nurse Practitioner
APRN11024473FLMDFamily Nurse Practitioner
A180917IAMDFamily Nurse Practitioner
53-80917041KSMDFamily Nurse Practitioner
224071LAMDFamily Nurse Practitioner
RN194978MAMDFamily Nurse Practitioner
4704430626MIMDFamily Nurse Practitioner
2533264MNMDFamily Nurse Practitioner
2025006216MOMDFamily Nurse Practitioner
APRN192031MTMDFamily Nurse Practitioner
116176NEMDFamily Nurse Practitioner
225049OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince May 16, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Jul 19, 2024 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Jul 11, 2024 Accepting new patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince Jul 11, 2024 Accepting new patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Jul 1, 2024 Accepting new patients
Teris Health Services LLC CurrentSince Sep 4, 2021 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jul 4, 2024 Accepting new patients
Minuteclinic Diagnostic of Washington, PLLC Family CurrentSince Jul 11, 2024 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Apr 25, 2025 Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Aug 17, 2024 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince May 15, 2025 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince May 16, 2022 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC Family CurrentSince Jul 1, 2024 Accepting new patients
Minuteclinic Video Virtual Care of Wisconsin, SC Family CurrentSince Sep 7, 2024 Accepting new patients
Teri'S Health Services CurrentSince Sep 4, 2021 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Sep 3, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Jul 16, 2024 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Native American Connections PastSince Nov 12, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Native American Connections, Inc. PastSince Nov 12, 2023 Accepting new patients

Locations (25 of 27)

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

270 Grove St
Braintree, MA 02184
Phone (781) 356-0714

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599

9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077

11918 Airport Rd
Everett, WA 98204
Phone (425) 353-7687

33520 21st Ave SW
Federal Way, WA 98023
Phone (253) 838-1611

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1700147337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N JACKSON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253855",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054452",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIOLA",
        "first_name": "JOAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN192031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A180917",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025006216",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1156849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80917041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "225049",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024473",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2533264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN194978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704430626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4753",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "234118",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016971A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.