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

Laurie Giacoletto, PA-C

Individual provider Physician Assistant · NPI 1477539138

Laurie Giacoletto, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 1995, 31 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group and accepts Medicare assignment. Licensed in Arizona and Minnesota.

Years since qualifying
31
Licensed in
AZ, MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

407 N Lindsay Rd Ste 103-104
Mesa, AZ 85213-7710
Phone: (480) 807-0084
Fax: (480) 807-0091
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5413 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 9289 (MN)

Record details

NPI number1477539138
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESApril 16, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mesa