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

Gia Christine Caccavale, NURSEPRACTITIONER

Individual provider Emergency Registered Nurse · NPI 1154098010

Gia Christine Caccavale, NURSEPRACTITIONER is a Nurse Practitioner in Surprise, Arizona. Qualified in 2023, 3 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

13995 W Statler Blvd Bldg 1
Surprise, AZ 85374-5501
Phone: (623) 478-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 309785 (AZ)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN197408 (AZ)

Record details

NPI number1154098010
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Surprise