Agave Surgical Services LLC
NPI 1477026862 · Acute Care Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Agave Surgical Services LLC is a Acute Care Nurse Practitioner organization in Mesa, AZ (NPI 1477026862).
Provider details
- NPI number
- 1477026862
- Entity type
- Organization
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bernadette Andalkar, Owner(520) 490-8368
Specialties & taxonomies
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2019-01-08
Frequently asked questions
- What is Agave Surgical Services LLC's NPI number?
- Agave Surgical Services LLC's National Provider Identifier (NPI) is 1477026862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agave Surgical Services LLC?
- Agave Surgical Services LLC is classified in the NPPES registry as Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Agave Surgical Services LLC located?
- Agave Surgical Services LLC's practice location on file with NPPES is 2045 S Vineyard Ste 142, Mesa, AZ 85210-6891.
- What is Agave Surgical Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Agave Surgical Services LLC is (480) 330-6010.
- Does Agave Surgical Services LLC accept Medicare?
- Agave Surgical Services LLC 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 Agave Surgical Services LLC?
- The authorized official listed on Agave Surgical Services LLC's NPPES record is Bernadette Andalkar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agave Surgical Services LLC's NPI active?
- Yes — Agave Surgical Services LLC's NPI (1477026862) is active in the NPPES registry as of the last update on 2019-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.