Individual provider Active NPI

Nicole Alexandra Sistek, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1922950773
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-RNP339898 Issued in AZ
Practice address
3126 S Higley Rd Ste 104
Gilbert, AZ 85295-2030
Phone
(480) 719-7400
NPI assigned
Feb 13, 2026
Last updated
May 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN165204 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-RNP339898 AZ Primary

Addresses

Primary practice location

3126 S Higley Rd Ste 104
Gilbert, AZ 85295-2030

Mailing address

3126 S Higley Rd Ste 104
Gilbert, AZ 85295-2030
Phone (480) 719-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN165204AZMDPsychiatric/Mental Health Registered Nurse
APRN-RNP339898AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1922950773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952030",
            "telephone_number": "480-719-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952030",
            "telephone_number": "480-719-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTEK",
        "first_name": "NICOLE",
        "middle_name": "ALEXANDRA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN165204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "APRN-RNP339898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.