CARISSA ANN GADDIE
NPI 1700617008
Nurse Practitioner - Family in Phoenix, AZ
About Carissa Ann Gaddie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARISSA ANN GADDIE (NPI 1700617008) is an individual family provider in Phoenix, Arizona, licensed in Arizona (255495) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carissa Ann Gaddie is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Carissa Gaddie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 88 clinicians in this Medicare group
Prairie Village, KS 66207
- Reassigned Medicare billing, Kansas enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85006
PHOENIX, AZ 85006
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 Carissa Gaddie's NPI number?
The NPI number for Carissa Gaddie is 1700617008. It was assigned to this individual provider in the NPPES registry on August 9, 2024.
Where is Carissa Gaddie located?
Carissa Gaddie practices at 1441 N 12th St, Phoenix, AZ 85006. The listed phone number is (602) 521-5900.
What is Carissa Gaddie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carissa Gaddie enrolled in Medicare?
Yes. Carissa Gaddie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carissa Gaddie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Gaddie reassigns Medicare benefits to 2 organizations: Banner - University Super Specialists LLC (Phoenix, AZ) and Neuman Rehab Specialists LLC (Prairie Village, KS). Each 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 Carissa Gaddie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carissa Gaddie accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas City and Oscar Health Plan, Inc. and 1 other insurer list Carissa Gaddie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carissa Gaddie was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carissa Ann Gaddie · NPI 1700617008
Family physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since August 9, 2024.
## Identity
- **NPI:** 1700617008 (Entity type: Individual)
- **Enumerated:** August 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 255495 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1441 N 12TH ST, Phoenix, AZ 85006-2837
- **Phone:** (602) 521-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Banner - University Super Specialists LLC (NPI 1740650555, Phoenix, AZ); Neuman Rehab Specialists LLC (NPI 1437000387, Prairie Village, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700617008) · Data from the CMS NPPES public registry.