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

Jeremy Lee Gianzero, RN

Individual provider Registered Nurse · NPI 1417218595

Jeremy Lee Gianzero, RN is a Nurse Practitioner in San Tan Valley, Arizona. Qualified in 2012, 14 years ago. Practices with Fiesta Health Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
14
Licensed in
AZ, CO
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

783 E Chelsea Dr
San Tan Valley, AZ 85140-5561
Phone: (719) 238-5317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 328243 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 186628 (CO)

Record details

NPI number1417218595
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESAugust 15, 2025
Certification dateAugust 8, 2025
Mailing address783 E Chelsea Dr, San Tan Valley, AZ 85140-5561

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fiesta Health Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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