Active NPI
Kelly Marie Sezate, NP
- Family Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN133667
- Practice address
- 3303 E Baseline Rd
Suite 203
Gilbert, AZ 85234-2738 - Phone
- (480) 968-7600
- Fax
- (480) 968-8003
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN133667 | AZ | Primary |
Addresses
Primary practice location
3303 E Baseline Rd
Suite 203
Gilbert, AZ 85234-2738
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Fountain Hills, AZ 85268
Phone (888) 662-3376
225 E Germann Rd
Suite 301
Gilbert, AZ 85297-2913
Phone (480) 722-9834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermright LLC | Nurse Practitioner | Current | Accepting new patients |
| Pophealthcare Medical Services of Az, PC | Family | Current | Accepting new patients |
| Pophealthcare Medical Services of Az, PC | Nurse Practitioner | Current | Accepting new patients |
| Villagehealth DM LLC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients |
Locations
13771 N Fountain Hills Blvd
Ste 114103
Fountain Hls, AZ 85268
Phone (480) 352-1608
225 E Germann Rd
Ste 301
Gilbert, AZ 85297
Phone (480) 722-9834
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
2141 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 237-5098
4730 E Grant Rd
Tucson, AZ 85712
Phone (520) 290-0300
1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966
113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Nurse Practitioner
- Tempe, AZ
- NPI 1760884175
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
-
- Family Nurse Practitioner
- Tempe, AZ
- NPI 1417652454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1942523667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 E BASELINE RD",
"address_2": "SUITE 203",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342738",
"telephone_number": "480-968-7600",
"fax_number": "480-968-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEZATE",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN133667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.