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WEST SEDONA FAMILY PRACTICE PLLC
NPI 1114384609
Physician Assistant in Sedona, AZ

Active since January 28, 2016CLIA 03D2114996 · Waiver
2155 W STATE ROUTE 89A STE 116, SEDONA, AZ 86336(928) 204-2540(928) 204-9070 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2024, Jul 14, 2016, Jan 28, 2016 (3 updates tracked since 2016).

About West Sedona Family Practice Pllc NPPES

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

WEST SEDONA FAMILY PRACTICE PLLC (NPI 1114384609) is a healthcare organization registered as a physician assistant in Sedona, Arizona and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Barbara A Cline, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1114384609
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameWEST SEDONA FAMILY PRACTICE PLLC
Location Address2155 W STATE ROUTE 89A STE 116Sedona, AZ 86336-5415
Mailing Address2155 W State Route 89a Ste 116Sedona, AZ 86336-5415 · (928) 204-2540 · Fax (928) 204-9070
Phone(928) 204-2540
Fax(928) 204-9070
Organization SubpartNo
Authorized OfficialBarbara A ClinePhysician Assistant · (928) 204-2540
Enumeration DateJanuary 28, 2016
Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1114384609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 4243
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2155 W STATE ROUTE 89A STE 116, Sedona, AZ 86336
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Other Identifiers 2

OtherE7287ZProvider #
Other1164446043AZ · Individual Npi

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)

West Sedona Family Practice Pllc 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 West Sedona Family Practice PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neil Singer, MD
Internal Medicine
NPI 1043277478
3700 W HIGHWAY 89A
Sedona, AZ 86336
(928) 204-4901
✔ PECOS✔ Accepts Medicare1.5 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 03D2114996

West Sedona Family Practice · Sedona, AZ
Active · expires Jun 23, 2028
CLIA Number03D2114996
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorBarbara A. Cline
Laboratory Phone(928) 204-2540
Laboratory LocationWest Sedona Family Practice2155 W State Route 89A, #116, Sedona, AZ 86336
CLIA data matches this NPI record on: 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 West Sedona Family Practice PLLC's NPI number?

The NPI number for West Sedona Family Practice PLLC is 1114384609. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is West Sedona Family Practice PLLC located?

West Sedona Family Practice PLLC is located at 2155 W State Route 89A Ste 116, Sedona, AZ 86336. The listed phone number is (928) 204-2540.

What is West Sedona Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is West Sedona Family Practice PLLC enrolled in Medicare?

Yes. West Sedona Family Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Sedona Family Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to West Sedona Family Practice PLLC. 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 West Sedona Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2114996) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Sedona Family Practice PLLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.