Individual provider Active NPI

Michelle Marie McGilvery, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1972350270
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
230915 Issued in AZ
Practice address
13260 N 94TH Dr Ste 100
Peoria, AZ 85381-4242
Phone
(623) 487-7763
Fax
(602) 900-4057
NPI assigned
May 3, 2024
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 230915 AZ Primary

Addresses

Primary practice location

13260 N 94TH Dr Ste 100
Peoria, AZ 85381-4242

Mailing address

12507 W Lamar CT
Glendale, AZ 85307-1939
Phone (360) 314-8438

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
I20250922001034 AZ Practitioner - Nurse Practitioner 0941704969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Desert View Counseling and Consulting IncGroup PAC ID 4981644325, 17 clinicians

Practice addresses (Care Compare)

13260 N 94TH Dr
Suite 100
Peoria, AZ 85381-4242
Phone (623) 487-7763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230915AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert View Counseling and Consulting, Inc. Psychiatric/Mental Health CurrentSince Jun 26, 2025 Accepting new patients
Ross & Mackenzie LLC Psychiatry PastSince Jul 28, 2024 Accepting new patients

Locations

13260 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 487-7763

19820 N 7th St
Ste 140
Phoenix, AZ 85024
Phone (623) 487-7763

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1972350270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 W LAMAR CT",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853071939",
            "telephone_number": "360-314-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814242",
            "telephone_number": "623-487-7763",
            "fax_number": "602-900-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILVERY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "230915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.