Individual provider Active NPI

Debra Koenigs-Gapp, PA-C

  • Physician Assistant
  • Apache Junction, AZ
National Provider Identifier
1902110117
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4652 Issued in AZ
Practice address
212 W Superstition Blvd Ste 101
Apache Junction, AZ 85120-4127
Phone
(480) 398-1220
Fax
(480) 983-4317
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4652 AZ Primary

Addresses

Primary practice location

212 W Superstition Blvd Ste 101
Apache Junction, AZ 85120-4127

Mailing address

212 W Superstition Blvd Ste 101
Apache Junction, AZ 85120-4127
Phone (480) 398-1228

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
I20110106000336 AZ Practitioner - Physician Assistant 8729277728 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

1215 S Higley Rd
Mesa, AZ 85206-3486
Phone (480) 827-5740

1660 N Higley Rd
Suite 104
Gilbert, AZ 85234-1615
Phone (480) 827-5600

1908 E McKellips Rd
Mesa, AZ 85203-2866
Phone (480) 827-5610

1955 W Guadalupe Rd
Suite 101 102
Mesa, AZ 85202-7487
Phone (480) 827-5620

2950 S Alma School Rd
Suite 1
Chandler, AZ 85286-8120
Phone (480) 827-5690

3126 S Higley Rd
Suite 109
Gilbert, AZ 85295-2030
Phone (480) 827-5780

3141 S McClintock Dr
Suite 1
Tempe, AZ 85282-5682
Phone (480) 827-5650

3160 E Queen Creek Rd
Gilbert, AZ 85297-8403
Phone (480) 827-5790

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone (480) 827-5760

931 E Elliot Rd
Suite 115
Tempe, AZ 85284-1583
Phone (480) 827-5640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4652AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC Current Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Dec 1, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 22, 2018 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Dec 1, 2021 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 22, 2018 Accepting new patients
SWDC Walk-in Clinic Past Accepting new patients
Yuma Regional Medical Center Past Accepting new patients
Livn, P.C. Past Accepting new patients

Locations (25 of 55)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1902110117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W SUPERSTITION BLVD STE 101",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204127",
            "telephone_number": "480-398-1228",
            "fax_number": "480-398-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W SUPERSTITION BLVD STE 101",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204127",
            "telephone_number": "480-398-1220",
            "fax_number": "480-983-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGS-GAPP",
        "first_name": "DEBRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.