LONNY ELSON FAMILY HEALTHCARE
NPI 1104502418
Clinic/Center - Primary Care in Flagstaff, AZ
About Lonny Elson Family Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONNY ELSON FAMILY HEALTHCARE (NPI 1104502418) is a healthcare organization registered as a primary care in Flagstaff, Arizona and active in the NPI registry since June 2023. The organization lists Lonny D Elson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lonny Elson Family Healthcare 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 Lonny Elson Family Healthcare, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lonny Elson Family Healthcare's NPI number?
The NPI number for Lonny Elson Family Healthcare is 1104502418. It was assigned to this organization in the NPPES registry on June 22, 2023.
Where is Lonny Elson Family Healthcare located?
Lonny Elson Family Healthcare is located at 1016 W University Ave Ste 206, Flagstaff, AZ 86001. The listed phone number is (928) 266-1530.
What is Lonny Elson Family Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lonny Elson Family Healthcare enrolled in Medicare?
Yes. Lonny Elson Family Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lonny Elson Family Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lonny Elson Family Healthcare. 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.
When was this NPI record last updated?
The NPPES record for Lonny Elson Family Healthcare was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lonny Elson Family Healthcare · NPI 1104502418
Primary Care organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since June 22, 2023.
## Identity
- **NPI:** 1104502418 (Entity type: Organization)
- **Enumerated:** June 22, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Lonny Elson, OWNER
## Practice location
- **Address:** 1016 W UNIVERSITY AVE STE 206, Flagstaff, AZ 86001-2996
- **Phone:** (928) 266-1530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104502418) · Data from the CMS NPPES public registry.