Virtualmed PLLC
NPI 1104609932 · Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Virtualmed PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Mesa, AZ (NPI 1104609932).
Provider details
- NPI number
- 1104609932
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mianna Gale, Owner(480) 603-8859
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Virtual Med
Additional practice locations (3)
- 1001 S Main St Ste 600Kalispell, MT 59901-5635Phone: (480) 603-8859
- 3003 32nd Ave S Ste 240Fargo, ND 58103-6118Phone: (480) 603-8859
- 30 N Gould St Ste NSheridan, WY 82801-6317Phone: (480) 603-8859
Registry dates
- Enumerated
- 2023-08-15
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Virtualmed PLLC's NPI number?
- Virtualmed PLLC's National Provider Identifier (NPI) is 1104609932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Virtualmed PLLC?
- Virtualmed PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Virtualmed PLLC located?
- Virtualmed PLLC's practice location on file with NPPES is 4140 E Baseline Rd Ste 101, Mesa, AZ 85206-4413.
- What is Virtualmed PLLC's phone number?
- The practice phone number listed in the NPPES registry for Virtualmed PLLC is (480) 603-8859.
- Does Virtualmed PLLC accept Medicare?
- Virtualmed PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Virtualmed PLLC?
- The authorized official listed on Virtualmed PLLC's NPPES record is Mianna Gale, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Virtualmed PLLC's NPI active?
- Yes — Virtualmed PLLC's NPI (1104609932) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.