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NORTH VALLEY ENDOSCOPY CENTER LLC
NPI 1043239338
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Active since July 18, 2006CLIA 03D1053248 · Waiver
15255 N 40TH STREET, BUILDING 8, PHOENIX, AZ 85032(602) 482-1001 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Valley Endoscopy Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH VALLEY ENDOSCOPY CENTER LLC (NPI 1043239338) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1043239338
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH VALLEY ENDOSCOPY CENTER LLC
Location Address15255 N 40TH STREET, BUILDING 8Phoenix, AZ 85032
Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720
Phone(602) 482-1001
Organization SubpartNo
Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1043239338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in AZ · OSC3960
15255 N 40TH STREET, Phoenix, AZ 85032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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)

North Valley Endoscopy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20060914000512Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Valley Endoscopy Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nickolas Willard, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073816237
13400 E SHEA BLVD
Scottsdale, AZ 85259
(480) 301-8000
✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1053248

North Valley Endoscopy Center · Phoenix, AZ
Active · expires Apr 17, 2028
CLIA Number03D1053248
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorMark Gulinson MD
Laboratory Phone(602) 279-3575
Laboratory LocationNorth Valley Endoscopy Center15255 N 40th St,bldg 8, Ste 157, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
414 services402 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
370 services369 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
272 services269 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
224 services224 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
141 services140 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
111 services111 patients

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 North Valley Endoscopy Center LLC's NPI number?

The NPI number for North Valley Endoscopy Center LLC is 1043239338. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is North Valley Endoscopy Center LLC located?

North Valley Endoscopy Center LLC is located at 15255 N 40th Street Building 8, Phoenix, AZ 85032. The listed phone number is (602) 482-1001.

What is North Valley Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is North Valley Endoscopy Center LLC enrolled in Medicare?

Yes. North Valley Endoscopy Center LLC is registered in the Medicare PECOS enrollment system.

When is North Valley Endoscopy Center 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, Ambulatory Surgical Center) is due for revalidation by November 30, 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 North Valley Endoscopy Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to North Valley Endoscopy Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Valley Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1053248) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Valley Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list North Valley Endoscopy Center 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 North Valley Endoscopy Center LLC was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.