Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cathryn Griepentrog

Individual provider Gerontology Nurse Practitioner · NPI 1104402114

Cathryn Griepentrog is a Nurse Practitioner in Mesa, Arizona. Qualified in 2020, 6 years ago. Practices with Atlas Medical ACO LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

7227 E Baseline Rd Ste 129
Mesa, AZ 85209-5006
Phone: (435) 514-5646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 246235 (AZ)

Record details

NPI number1104402114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2021
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Atlas Medical Aco Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mesa