Individual provider Active NPI

Kelly Marie Sezate, NP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1942523667
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN133667 Issued in AZ
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

Updated by the provider on Jan 11, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000898 AZ Practitioner - Nurse Practitioner 0345377321 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dermright LLCGroup PAC ID 2567707060, 12 clinicians
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

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

OrganizationSpecialtyStatusNew patients
Dermright LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Pophealthcare Medical Services of Az, PC Family CurrentSince Nov 8, 2023 Accepting new patients
Pophealthcare Medical Services of Az, PC Nurse Practitioner Current Accepting new patients
Villagehealth DM LLC CurrentSince Jan 3, 2026 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 8, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 8, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.