Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Gage Nussbaum, PA-C

Individual provider Medical Physician Assistant · NPI 1750124715

Zachary Gage Nussbaum, PA-C is a Physician Assistant in Tempe, Arizona. Qualified in 2024, 2 years ago. Practices with Phoenix Pointe Psychiatry LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1492 S Mill Ave Ste 206
Tempe, AZ 85281-5664
Phone: (480) 508-0882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10525 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10525 (AZ)

Record details

NPI number1750124715
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Phoenix Pointe Psychiatry Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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