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BANNER HEALTH
NPI 1063923340
General Acute Care Hospital - Critical Access in Payson, AZ

Active since October 13, 2017CLIA Certified · 2 labs
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 471-3222 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2026, Apr 15, 2026, Aug 13, 2024 and 2 more (5 updates tracked since 2017).

About Banner Health NPPES

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

BANNER HEALTH (NPI 1063923340), doing business as Banner Payson Medical Center, is a healthcare organization registered as a critical access in Payson, Arizona and active in the NPI registry since October 2017. The organization holds 2 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Hoyt Skabeland, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063923340
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameBANNER HEALTH
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(928) 471-3222
Organization SubpartYes
Authorized OfficialHoyt SkabelandCeo · (928) 471-3222
Enumeration DateOctober 13, 2017
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1063923340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
Also ListedClinic/Center · Rehabilitation, Cardiac FacilitiesTaxonomy 261QR0404X
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
807 S PONDEROSA ST, Payson, AZ 85541
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Other Names 1

Doing Business AsBanner Payson Medical Center

Secondary Practice Locations 8

Location 1117 E Main St Ste A100Payson, AZ 85541-4606 · Phone (928) 596-4500
Location 2803 S Ponderosa St Ste CPayson, AZ 85541-5521 · Phone (928) 471-1259
Location 3101 E State Highway 260 Ste GPayson, AZ 85541-4921 · Phone (888) 264-2127
Location 4680 E Deuce Of ClubsShow Low, AZ 85901-4829 · Phone (888) 264-2127
Location 5803 S Ponderosa St Ste APayson, AZ 85541-5521 · Phone (928) 596-4575
Location 66152 Hardscrabble Rd, Mailing Address PO Box 62Pine, AZ 85544-5238 · Phone (928) 596-4848
Location 7127 E Main St Ste CPayson, AZ 85541-5646 · Phone (928) 472-3450
Location 83457 W White Mountain BlvdLakeside, AZ 85929-6007 · Phone (888) 264-2127

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)

Banner Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20180413001382Part A · Critical Access HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Banner Health, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

James Schouten, M.D.
Family Practice
NPI 1093784712
708 COEUR D'ALENE
Payson, AZ 85541
(928) 474-5259
✔ PECOS✔ Accepts Medicare0.1 mi
Matthew Balls, DO
Family Practice
NPI 1841784428
117 E MAIN ST STE A100
Payson, AZ 85541
(289) 596-4500
✔ PECOS✔ Accepts Medicare0.2 mi
Adam Crandell, DO
General Practice
NPI 1194393868
117 E MAIN ST STE A100
Payson, AZ 85541
(928) 596-4500
✔ PECOS✔ Accepts Medicare0.2 mi
Nicholas Galvin, DO
Family Practice
NPI 1912573825
117 E MAIN ST STE A100
Payson, AZ 85541
(928) 596-4500
✔ PECOS✔ Accepts Medicare0.2 mi
Corinne Spires
Family Practice
NPI 1417695206
117 E MAIN ST STE A100
Payson, AZ 85541
(928) 596-4500
✔ PECOS✔ Accepts Medicare0.2 mi
Emily Orr, FNP-C
Nurse Practitioner
NPI 1306860630
18591 N 59TH AVE
Glendale, AZ 85308
(602) 789-1166
✔ PECOS✔ Accepts Medicare64 mi
Roberta Matern, MD
Family Practice
NPI 1215984349
2927 N 7TH AVE
Phoenix, AZ 85013
(602) 406-3153
✔ PECOS✔ Accepts Medicare68 mi
Rachel Altman, FNP-C
Nurse Practitioner
NPI 1154942209
1107 W POPLAR AVE
Porterville, CA 93257
(877) 960-3426
✔ PECOS✔ Accepts Medicare455 mi
John Jackson, DO
Family Practice
NPI 1992850036
505 GOPHER DR
Tomah, WI 54660
(608) 372-4111
✔ PECOS✔ Accepts Medicare1,299 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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2277824

Banner Health Clinic · Payson, AZ
Active · expires Jul 31, 2028
CLIA Number03D2277824
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2026
Certificate Expiration DateJuly 31, 2028
Laboratory DirectorJames Schouten
Laboratory Phone(928) 596-4500
Laboratory LocationBanner Health Clinic117 E Main St Ste A100, Payson, AZ 85541
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 03D2277823

Banner Health - Banner Health Clinic Pine · Pine, AZ
Active · expires Mar 5, 2027
CLIA Number03D2277823
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorTamara Rector
Laboratory Phone(928) 596-4848
Laboratory LocationBanner Health - Banner Health Clinic Pine6152 Hardscrabble Rd, Pine, AZ 85544
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Banner Health's NPI number?

The NPI number for Banner Health is 1063923340. It was assigned to this organization in the NPPES registry on October 13, 2017. The provider is doing business as Banner Payson Medical Center.

Where is Banner Health located?

Banner Health is located at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 471-3222.

What is Banner Health's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Banner Health enrolled in Medicare?

Yes. Banner Health is registered in the Medicare PECOS enrollment system.

When is Banner Health's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Arizona, Critical Access Hospital) is due for revalidation by February 28, 2027. 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 Banner Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Banner Health. 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 Family Practice (6), Nurse Practitioner (2) and General Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Health hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Health accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Banner Health 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 Banner Health was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.