Individual provider Active NPI

Lindsay Erin Gragnano, FNP

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1881443463
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
307340 Issued in AZ
Practice address
3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011
Phone
(623) 322-0323
Fax
(623) 322-0757
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 307340 AZ Primary

Addresses

Primary practice location

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011

Mailing address

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011
Phone (623) 322-0323

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
I20240624003355 AZ Practitioner - Nurse Practitioner 2860935418 Reassigns benefits to 2 organizations

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
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307340AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince May 19, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince May 19, 2025 Accepting new patients
Alliance Medical Clinic, LLC Family CurrentSince Jan 1, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8857/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1881443463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921011",
            "telephone_number": "623-322-0323",
            "fax_number": "623-322-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921011",
            "telephone_number": "623-322-0323",
            "fax_number": "623-322-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGNANO",
        "first_name": "LINDSAY",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "307340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.