Individual provider Active NPI

Molly Fitzgibbons, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1821888538
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
314600 Issued in AZ
Practice address
4212 E Rockledge Rd
Phoenix, AZ 85044-6772
Phone
(520) 840-6149
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 314600 AZ Primary

Addresses

Primary practice location

4212 E Rockledge Rd
Phoenix, AZ 85044-6772

Mailing address

4212 E Rockledge Rd
Phoenix, AZ 85044-6772
Phone (520) 840-6149

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
I20260114001386 AZ Practitioner - Nurse Practitioner 4183100795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3921
Phone (602) 241-1671

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314600AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

4530 E Ray Rd
Ste 125
Phoenix, AZ 85044
Phone (480) 759-9191

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1821888538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 E ROCKLEDGE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446772",
            "telephone_number": "520-840-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 E ROCKLEDGE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446772",
            "telephone_number": "520-840-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBONS",
        "first_name": "MOLLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "314600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.