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

Peter Paul Moheb Hennis, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1588233175

Peter Paul Moheb Hennis, AGNP is a Nurse Practitioner in Casa Grande, Arizona. Qualified in 2021, 5 years ago. Practices with Bonhoeffer Rheumatology Institute LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

520 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5754
Phone: (520) 557-5600
Fax: (480) 494-2771
Show map & directions

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

Additional practice locations (1)

  • 2451 E Baseline Rd Ste 425, Gilbert, AZ 85234-0049 — (480) 494-2770

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 258473 (AZ)

Record details

NPI number1588233175
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bonhoeffer Rheumatology Institute Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount