Individual provider Active NPI

Mercy Kinyanjui

  • Acute Care Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1750198024
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
310144 Issued in AZ
Practice address
37000 N Gantzel Rd
Queen Creek, AZ 85140-7303
Phone
(480) 394-4000
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 310144 AZ Primary
Registered Nurse 163W00000X 310144 AZ

Addresses

Primary practice location

37000 N Gantzel Rd
Queen Creek, AZ 85140-7303

Mailing address

22616 E Excelsior Ave
Queen Creek, AZ 85142-2140

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
I20250228002758 AZ Practitioner - Nurse Practitioner 5698296085 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 25, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

1125 S Alma School Rd
Ste 310
Chandler, AZ 85286
Phone (480) 684-6157

1520 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 412-8080

6424 E Broadway Rd
Ste 105
Mesa, AZ 85206
Phone (480) 248-3000

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 3

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1750198024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22616 E EXCELSIOR AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 N GANTZEL RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407303",
            "telephone_number": "480-394-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINYANJUI",
        "first_name": "MERCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "310144",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "310144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.