THE LITTLE CLINIC OF ARIZONA LLC
NPI 1023216249
Nurse Practitioner - Family in Buckeye, AZ
About The Little Clinic Of Arizona Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE LITTLE CLINIC OF ARIZONA LLC (NPI 1023216249) is a healthcare organization registered as a family in Buckeye, Arizona and active in the NPI registry since July 2007. The organization maintains 8 additional practice locations and lists Thomas Shelly, Vp & General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 8
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Little Clinic Of Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to The Little Clinic Of Arizona LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 106Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is The Little Clinic Of Arizona LLC's NPI number?
The NPI number for The Little Clinic Of Arizona LLC is 1023216249. It was assigned to this organization in the NPPES registry on July 10, 2007.
Where is The Little Clinic Of Arizona LLC located?
The Little Clinic Of Arizona LLC is located at 1300 S Watson Rd, Buckeye, AZ 85326. The listed phone number is (623) 241-5322.
What is The Little Clinic Of Arizona LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is The Little Clinic Of Arizona LLC enrolled in Medicare?
Yes. The Little Clinic Of Arizona LLC is registered in the Medicare PECOS enrollment system.
When is The Little Clinic Of Arizona LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through The Little Clinic Of Arizona LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 2 Medicare specialties reassign their Medicare billing to The Little Clinic Of Arizona LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (105) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Little Clinic Of Arizona LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list The Little Clinic Of Arizona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for The Little Clinic Of Arizona LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Little Clinic Of Arizona Llc · NPI 1023216249
Family organization in Buckeye, Arizona. Organization record, active in the CMS NPPES registry since July 10, 2007.
## Identity
- **NPI:** 1023216249 (Entity type: Organization)
- **Enumerated:** July 10, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Thomas Shelly, VP & GENERAL MANAGER
## Practice location
- **Address:** 1300 S WATSON RD, Buckeye, AZ 85326-6303
- **Phone:** (623) 241-5322 · **Fax:** (623) 241-5323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 106 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (105), Family Practice (1); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1023216249/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2026
- **Other identifiers:** Medicaid 758664 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1023216249) · Data from the CMS NPPES public registry.