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YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
NPI 1083940399
Internal Medicine in Prescott, AZ

Active since October 20, 2009
1050 GAIL GARDNER WAY, SUITE 300, PRESCOTT, AZ 86305(928) 771-3704(928) 771-0434 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yavapai Regional Medical Center Physician Care Llc NPPES

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

YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC (NPI 1083940399), doing business as Yavapai Regional Medical Center Physician Care, is a healthcare organization registered as an internal medicine in Prescott, Arizona and active in the NPI registry since October 2009. The organization lists Matt Rice, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083940399
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameYAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Location Address1050 GAIL GARDNER WAY, SUITE 300Prescott, AZ 86305-1630
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358
Phone(928) 771-3704
Fax(928) 771-0434
Organization SubpartNo
Authorized OfficialMatt RiceCfo · (928) 445-2700
Enumeration DateOctober 20, 2009
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1083940399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1050 GAIL GARDNER WAY, Prescott, AZ 86305
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Other Names 2

Doing Business AsYavapai Regional Medical Center Physician Care
Other NameDignity Health Yavapai Regional Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yavapai Regional Medical Center Physician Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

138

Medicare enrollment records show 138 clinicians reassign Medicare billing to Yavapai Regional Medical Center Physician Care LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner48
Cardiovascular Disease (Cardiology)12
Family Practice11
Urology9
Interventional Cardiology8
Orthopedic Surgery8
General Surgery7
Gastroenterology5
13 other specialties30

Nearest to this location (20)

See all 138
Jennifer Goddard, M.D.
Family Practice
NPI 1124257282
1050 GAIL GARDNER WAY STE 100
Prescott, AZ 86305
(928) 777-0700
✔ PECOS✔ Accepts MedicareSame address
Martti Kahkonen, M.D.
Preventive Medicine
NPI 1336211101
1050 GAIL GARDNER WAY STE 100
Prescott, AZ 86305
(928) 777-0700
✔ PECOSSame address
Michael Lacaze, DO
Family Practice
NPI 1003161035
1050 GAIL GARDNER WAY STE 300
Prescott, AZ 86305
(928) 717-5232
✔ PECOS✔ Accepts MedicareSame address
Shannon Roberts, FNP
Nurse Practitioner
NPI 1720854144
1050 GAIL GARDNER WAY STE 100
Prescott, AZ 86305
(928) 777-0700
✔ PECOS✔ Accepts MedicareSame address
Robin Wilson
Nurse Practitioner
NPI 1700291440
1050 GAIL GARDNER WAY STE 300
Prescott, AZ 86305
(928) 717-5240
✔ PECOS✔ Accepts MedicareSame address
Pierre Tibi, MD
Cardiac Surgery
NPI 1811926660
811 AINSWORTH DR SUITE 109
Prescott, AZ 86301
(928) 771-5595
✔ PECOS✔ Accepts Medicare0.5 mi
Autum Jacobs, FNP-BC
Nurse Practitioner
NPI 1235954926
820 AINSWORTH DR STE A
Prescott, AZ 86301
(928) 771-5548
✔ PECOS✔ Accepts Medicare0.5 mi
George Gellert, MD
Anesthesiology
NPI 1356312185
802 AINSWORTH DR STE A
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare0.5 mi
Shayan Alam, M.D.
Gastroenterology
NPI 1780654988
802 AINSWORTH DR STE A
Prescott, AZ 86301
(928) 771-5548
✔ PECOS✔ Accepts Medicare0.5 mi
Jeffrey Aguiar, DO
General Surgery
NPI 1801358452
1001 WILLOW CREEK RD STE 1200
Prescott, AZ 86301
(928) 458-2995
✔ PECOS✔ Accepts Medicare0.5 mi
Brent Anderson, DO
Orthopedic Surgery
NPI 1144420472
1001 WILLOW CREEK RD STE 1300
Prescott, AZ 86301
(928) 708-4545
✔ PECOS✔ Accepts Medicare0.5 mi
Bradley Benson, D.O.
Physical Medicine and Rehabilitation
NPI 1619104130
1001 WILLOW CREEK RD STE 3100
Prescott, AZ 86301
(928) 445-4818
✔ PECOS✔ Accepts Medicare0.5 mi
John Giardina, MD
Cardiovascular Disease (Cardiology)
NPI 1821063645
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare0.5 mi
Jorge Gonzalez-Cruz, MD
Neurosurgery
NPI 1386850006
1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301
(928) 458-2996
✔ PECOS✔ Accepts Medicare0.5 mi
Ronald Jones, M.D.
Cardiac Electrophysiology
NPI 1255541876
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare0.5 mi
John Mackenzie, DO
Neurology
NPI 1518078807
1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301
(928) 778-0827
✔ PECOS✔ Accepts Medicare0.5 mi
Soundos Moualla, MD
Interventional Cardiology
NPI 1396853461
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
(928) 445-6025
✔ PECOS✔ Accepts Medicare0.5 mi
Paul Nguyen, MD
Urology
NPI 1699859769
1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301
(928) 408-4000
✔ PECOS✔ Accepts Medicare0.5 mi
Marc Sedwitz, M.D.
Vascular Surgery
NPI 1275613093
1001 WILLOW CREEK RD STE 1200
Prescott, AZ 86301
(928) 458-2850
✔ PECOS✔ Accepts Medicare0.5 mi
Ronald Smith, M.D.
Thoracic Surgery
NPI 1245421247
1001 WILLOW CREEK RD STE 3200
Prescott, AZ 86301
(928) 771-5595
✔ PECOS✔ Accepts Medicare0.5 mi
See all 138 clinicians

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 Yavapai Regional Medical Center Physician Care LLC's NPI number?

The NPI number for Yavapai Regional Medical Center Physician Care LLC is 1083940399. It was assigned to this organization in the NPPES registry on October 20, 2009. The provider is doing business as Yavapai Regional Medical Center Physician Care. The provider is also known as Dignity Health Yavapai Regional Medical Group.

Where is Yavapai Regional Medical Center Physician Care LLC located?

Yavapai Regional Medical Center Physician Care LLC is located at 1050 Gail Gardner Way Suite 300, Prescott, AZ 86305. The listed phone number is (928) 771-3704.

What is Yavapai Regional Medical Center Physician Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yavapai Regional Medical Center Physician Care LLC enrolled in Medicare?

Yes. Yavapai Regional Medical Center Physician Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yavapai Regional Medical Center Physician Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 138 clinicians in 21 Medicare specialties reassign their Medicare billing to Yavapai Regional Medical Center Physician Care 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 (48), Cardiovascular Disease (Cardiology) (12) and Family Practice (11). Of these, 5 practice at this address and 97 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 Yavapai Regional Medical Center Physician Care LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.