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

Gertrude Massie, PA

Individual provider Physician Assistant · NPI 1063151249

Gertrude Massie, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, a 115-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
4
Licensed in
AZ, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 435 N 5th St, Phoenix, AZ 85004-2157 — (000) 000-0000
  • 1304 Fawcett Ave, Tacoma, WA 98402-1911 — (253) 761-4200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9250 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA61477339 (WA)

Record details

NPI number1063151249
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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