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PATRIOT INTERNAL MEDICINE LLC
NPI 1093263188
Nurse Practitioner - Adult Health in Tucson, AZ

Active since September 17, 2016CLIA 03D2132419 · Microscopy
9356 E RITA RD, STE 140, TUCSON, AZ 85747(520) 398-7079(520) 207-4317 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2017, Sep 17, 2016 (2 updates tracked since 2016).

About Patriot Internal Medicine Llc NPPES

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

PATRIOT INTERNAL MEDICINE LLC (NPI 1093263188) is a healthcare organization registered as an adult health in Tucson, Arizona and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through June 18, 2027 and lists Helene P Henager, Owner, as its authorized official.

NPPES Registry Identity

NPI1093263188
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NamePATRIOT INTERNAL MEDICINE LLC
Location Address9356 E RITA RD, STE 140Tucson, AZ 85747-6315
Mailing Address9356 E Rita Rd, Ste 140Tucson, AZ 85747-6315 · (520) 398-7079 · Fax (520) 207-4317
Phone(520) 398-7079
Fax(520) 207-4317
Organization SubpartNo
Authorized OfficialHelene P HenagerOwner · (520) 398-7079
Enumeration DateSeptember 17, 2016
Last NPPES UpdateMay 3, 20172 updates tracked since enumeration
✔ NPI 1093263188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
9356 E RITA RD, Tucson, AZ 85747
Open in Google Maps ↗

Other Identifiers 2

Medicare PINZ196433AZ
Medicaid241716AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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)

Patriot Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patriot Internal Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Helene Henager, N.P.
Nurse Practitioner
NPI 1386716504
9356 E RITA RD STE 140
Tucson, AZ 85747
(520) 398-7079
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2132419

Patriot Internal Medicine · Tucson, AZ
Active · expires Jun 18, 2027
CLIA Number03D2132419
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorHelene P. Henager
Laboratory Phone(520) 398-7079
Laboratory LocationPatriot Internal Medicine6620 E Carondelet Dr, Tucson, AZ 85710
CLIA data matches this NPI record on: 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.

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 Patriot Internal Medicine LLC's NPI number?

The NPI number for Patriot Internal Medicine LLC is 1093263188. It was assigned to this organization in the NPPES registry on September 17, 2016.

Where is Patriot Internal Medicine LLC located?

Patriot Internal Medicine LLC is located at 9356 E Rita Rd Ste 140, Tucson, AZ 85747. The listed phone number is (520) 398-7079.

What is Patriot Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Patriot Internal Medicine LLC enrolled in Medicare?

Yes. Patriot Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patriot Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Patriot Internal Medicine 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 Patriot Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2132419) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Patriot Internal Medicine LLC accept?

Health plans from Ambetter from Arizona Complete Health list Patriot Internal Medicine 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 Patriot Internal Medicine LLC was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.