Individual provider Active NPI

Mengyao Zhao

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1932935566
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
280189 Issued in AZ
Practice address
550 N 3Rd Street
Health North Building, 3Rd Floor
Phoenix, AZ 85004
Phone
(602) 496-0907
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 312328 NY
Student in an Organized Health Care Education/Training Program 390200000X
Adult Health Nurse Practitioner 363LA2200X 280189 AZ Primary

Addresses

Primary practice location

550 N 3Rd Street
Health North Building, 3Rd Floor
Phoenix, AZ 85004

Mailing address

550 N 3Rd Street
Health North Building, 3Rd Floor
Phoenix, AZ 85004

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
I20251021000476 AZ Practitioner - Nurse Practitioner 8527556703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaia Virtual Medicine LLCGroup PAC ID 0648632802, 5 clinicians

Practice addresses (Care Compare)

2680 S Val Vista Dr
BLDG 9 RM 13 Suite 146
Gilbert, AZ 85295-2152
Phone (623) 888-6266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280189AZMDAdult Health Nurse Practitioner
312328NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gaia Virtual Medicine. LLC CurrentSince Aug 8, 2025 Accepting new patients

Locations

2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

Organizations & group practices 2

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1932935566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N 3RD STREET",
            "address_2": "HEALTH NORTH BUILDING, 3RD FLOOR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 3RD STREET",
            "address_2": "HEALTH NORTH BUILDING, 3RD FLOOR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "602-496-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "MENGYAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312328",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "280189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.