ARIZONA CLINIC PLLC
NPI 1053188771
Family Medicine in Tucson, AZ
About Arizona Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA CLINIC PLLC (NPI 1053188771) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since December 2023. The organization lists Michael Minckler, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arizona Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Arizona Clinic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: 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 Arizona Clinic PLLC's NPI number?
The NPI number for Arizona Clinic PLLC is 1053188771. It was assigned to this organization in the NPPES registry on December 4, 2023.
Where is Arizona Clinic PLLC located?
Arizona Clinic PLLC is located at 4834 E Broadway Blvd, Tucson, AZ 85711. The listed phone number is (206) 551-0154.
What is Arizona Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Arizona Clinic PLLC enrolled in Medicare?
Yes. Arizona Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Arizona Clinic PLLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Arizona Clinic PLLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Arizona Clinic Pllc · NPI 1053188771
Family Medicine organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since December 4, 2023.
## Identity
- **NPI:** 1053188771 (Entity type: Organization)
- **Enumerated:** December 4, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michael Minckler, CEO
## Practice location
- **Address:** 4834 E BROADWAY BLVD, Tucson, AZ 85711-3610
- **Phone:** (206) 551-0154 · **Fax:** (702) 441-1961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Internal Medicine (1), Nurse Practitioner (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053188771) · Data from the CMS NPPES public registry.