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GILBERT COMPLETE MEDICAL CLINIC LLC
NPI 1598324733
Family Medicine in Gilbert, AZ

Active since June 11, 2019CLIA 03D2195141 · Waiver
201 W GUADALUPE RD STE 102, GILBERT, AZ 85233(480) 297-3703 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gilbert Complete Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILBERT COMPLETE MEDICAL CLINIC LLC (NPI 1598324733) is a healthcare organization registered as a family medicine in Gilbert, Arizona and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through October 5, 2028 and lists Jodi Lester, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1598324733
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGILBERT COMPLETE MEDICAL CLINIC LLC
Location Address201 W GUADALUPE RD STE 102Gilbert, AZ 85233-3318
Mailing Address201 W Guadalupe Rd Ste 102Gilbert, AZ 85233-3318
Phone(480) 297-3703
Organization SubpartNo
Authorized OfficialJodi LesterCredentialing Manager · (480) 219-6631
Enumeration DateJune 11, 2019
✔ NPI 1598324733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedChiropractorTaxonomy 111N00000X
201 W GUADALUPE RD STE 102, Gilbert, AZ 85233
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gilbert Complete Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gilbert Complete Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nancy Mucha, CNP
Nurse Practitioner
NPI 1063814879
2843 N 89TH ST
Mesa, AZ 85207
(480) 396-3482
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2195141

Gilbert Complete Medical Clinic · Gilbert, AZ
Active · expires Oct 5, 2028
CLIA Number03D2195141
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2026
Certificate Expiration DateOctober 5, 2028
Laboratory DirectorNancy A. Mucha
Laboratory Phone(480) 219-6631
Laboratory LocationGilbert Complete Medical Clinic201 W Guadalupe Rd Ste 200, Gilbert, AZ 85233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilbert Complete Medical Clinic LLC's NPI number?

The NPI number for Gilbert Complete Medical Clinic LLC is 1598324733. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Gilbert Complete Medical Clinic LLC located?

Gilbert Complete Medical Clinic LLC is located at 201 W Guadalupe Rd Ste 102, Gilbert, AZ 85233. The listed phone number is (480) 297-3703.

What is Gilbert Complete Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gilbert Complete Medical Clinic LLC enrolled in Medicare?

Yes. Gilbert Complete Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gilbert Complete Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gilbert Complete Medical Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gilbert Complete Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2195141) is associated with this NPI, valid through October 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gilbert Complete Medical Clinic LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.