Individual provider Active NPI

Mollie Gaeddert, MSN, FNP-BC

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1881288322
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
283315 Issued in AZ
Practice address
450 E Rio Salado Pkwy BLDG C
Tempe, AZ 85281-0803
Phone
(480) 882-7380
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 283315 AZ Primary

Addresses

Primary practice location

450 E Rio Salado Pkwy BLDG C
Tempe, AZ 85281-0803

Mailing address

450 E Rio Salado Pkwy BLDG C
Tempe, AZ 85281-0803

Other names 1

  • Mollie Nebel Former name

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
I20230126001407 AZ Practitioner - Nurse Practitioner 5799194569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

450 E Rio Salado Pkwy
Tempe, AZ 85281-0803
Phone (480) 882-7380

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince Dec 23, 2022 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Dec 23, 2022 Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

8405 N Pima Center Pkwy
Ste 203
Scottsdale, AZ 85258
Phone (480) 587-6930

450 E Rio Salado Pkwy
#C110113
Tempe, AZ 85281

450 E Rio Salado Pkwy
Bldg C
Tempe, AZ 85281
Phone (480) 882-7380

450 E Rio Salado Pkwy
Tempe, AZ 85281
Phone (480) 882-7380

450 E Rio Salado Pkwy
Ste C110
Tempe, AZ 85281

Interoperability endpoints

  • Direct secure messaging: mgaeddert496374@direct.honorhealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1881288322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E RIO SALADO PKWY BLDG C",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E RIO SALADO PKWY BLDG C",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810803",
            "telephone_number": "480-882-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEDDERT",
        "first_name": "MOLLIE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "283315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "NEBEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.