Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REGENCY AMBULATORY SURGERY CENTER ONE, LLC
NPI 1073155834
Clinic/Center - Ambulatory Surgical in Surprise, AZ

Q: What is Regency Ambulatory Surgery Center One, LLC's specialty?

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

Active since October 14, 2019CLIA 03D2184401 · Waiver

14725 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374(623) 243-9077(623) 271-9826 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Sep 21, 2022, Oct 14, 2019 (3 updates tracked since 2019).

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About Regency Ambulatory Surgery Center One, Llc NPPES

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

REGENCY AMBULATORY SURGERY CENTER ONE, LLC (NPI 1073155834) is a healthcare organization registered as an ambulatory surgical in Surprise, Arizona and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through May 18, 2028, maintains a secondary practice location in Buckeye, and lists Jason Lee Mussman, Ceo/sole Member, as its authorized official.

NPPES Registry Identity

NPI1073155834

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameREGENCY AMBULATORY SURGERY CENTER ONE, LLC

Location Address14725 W MOUNTAIN VIEW BLVDSurprise, AZ 85374-2704

Mailing Address10240 W Indian School Rd Ste 115Phoenix, AZ 85037-5905 · (623) 243-9077 · Fax (623) 271-9826

Phone(623) 243-9077

Fax(623) 271-9826

Organization SubpartNo

Authorized OfficialJason Lee MussmanCeo/sole Member · (623) 243-9077

Enumeration DateOctober 14, 2019

Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1073155834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

14725 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374

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Secondary Practice Location 1

Location 12640 N Verrado Way, Ste 113Buckeye, AZ 85396 · Phone (623) 243-9077 · Fax (623) 271-9826

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regency Ambulatory Surgery Center One, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Regency Ambulatory Surgery Center One, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Ashkaun Shaterian

Plastic and Reconstructive Surgery

NPI 1679917025

10240 W INDIAN SCHOOL RD
Phoenix, AZ 85037

(623) 243-9077

✔ PECOS✔ Accepts Medicare12 mi

Jason Mussman, M.D.

Plastic and Reconstructive Surgery

NPI 1144430182

10240 W. INDIAN SCHOOL RD. SUITE 115
Phoenix, AZ 85037

(623) 243-9077

✔ PECOS✔ Accepts Medicare12 mi

Spencer Michalke, M.D.

Plastic and Reconstructive Surgery

NPI 1801155064

8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905

(239) 396-8930

✔ PECOS✔ Accepts Medicare1,886 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 03D2184401

Regency Ambulatory Surgery Center One · Surprise, AZ

Active · expires May 18, 2028

CLIA Number03D2184401

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 19, 2026

Certificate Expiration DateMay 18, 2028

Laboratory DirectorJason L. Mussman

Laboratory Phone(623) 243-9077

Laboratory LocationRegency Ambulatory Surgery Center One14725 W Mountain View Blvd Suite 125, Surprise, AZ 85374

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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.

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

986 services702 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

639 services544 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

581 services491 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

119 services113 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

67 services63 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021

This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.

58 services56 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

58 services54 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

52 services49 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

47 services42 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

45 services43 patients

Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001

This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.

41 services38 patients

Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less 15220

A full-thickness skin graft involves transferring a layer of skin from one area of the body to the scalp, arms, or legs. This procedure, covering an area 20.0 sq cm or less, aids in healing wounds or areas with skin loss. It's a safe, common surgical practice.

36 services30 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

28 services27 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

21 services21 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less 14020

This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.

14 services12 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151

This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.

12 services12 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 Regency Ambulatory Surgery Center One, LLC's NPI number?

The NPI number for Regency Ambulatory Surgery Center One, LLC is 1073155834. It was assigned to this organization in the NPPES registry on October 14, 2019.

Where is Regency Ambulatory Surgery Center One, LLC located?

Regency Ambulatory Surgery Center One, LLC is located at 14725 W Mountain View Blvd, Surprise, AZ 85374. The listed phone number is (623) 243-9077.

What is Regency Ambulatory Surgery Center One, LLC's specialty?

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

Is Regency Ambulatory Surgery Center One, LLC enrolled in Medicare?

Yes. Regency Ambulatory Surgery Center One, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regency Ambulatory Surgery Center One, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Regency Ambulatory Surgery Center One, 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 Regency Ambulatory Surgery Center One, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2184401) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Regency Ambulatory Surgery Center One, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Regency Ambulatory Surgery Center One, 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 Regency Ambulatory Surgery Center One, LLC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

About Regency Ambulatory Surgery Center One, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Secondary Practice Location 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Clinicians Billing Medicare Through This Organization

Clinicians, nearest first (3)

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 03D2184401

Areas of Expertise CMS Part B claims 16

Frequently Asked Questions NPPES & CMS

What is Regency Ambulatory Surgery Center One, LLC's NPI number?

Where is Regency Ambulatory Surgery Center One, LLC located?

What is Regency Ambulatory Surgery Center One, LLC's specialty?

Is Regency Ambulatory Surgery Center One, LLC enrolled in Medicare?

How many clinicians bill Medicare through Regency Ambulatory Surgery Center One, LLC?

Does Regency Ambulatory Surgery Center One, LLC hold a CLIA laboratory certificate?

What insurance does Regency Ambulatory Surgery Center One, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 03D2184401