DYNASTY OF SELAH INTEGRATED HEALTH SERVICES PLLC
NPI 1114643905
Nurse Practitioner - Psychiatric/Mental Health in Oro Valley, AZ
About Dynasty Of Selah Integrated Health Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYNASTY OF SELAH INTEGRATED HEALTH SERVICES PLLC (NPI 1114643905) is a healthcare organization registered as a psychiatric/mental health in Oro Valley, Arizona and active in the NPI registry since October 2022. The organization lists Tara C Cherry, Owner Of Entity, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dynasty Of Selah Integrated Health Services 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 Dynasty Of Selah Integrated Health Services PLLC, 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 Dynasty Of Selah Integrated Health Services PLLC's NPI number?
The NPI number for Dynasty Of Selah Integrated Health Services PLLC is 1114643905. It was assigned to this organization in the NPPES registry on October 13, 2022.
Where is Dynasty Of Selah Integrated Health Services PLLC located?
Dynasty Of Selah Integrated Health Services PLLC is located at 1846 E Innovation Park Dr, Oro Valley, AZ 85755. The listed phone number is (770) 231-3593.
What is Dynasty Of Selah Integrated Health Services PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dynasty Of Selah Integrated Health Services PLLC enrolled in Medicare?
Yes. Dynasty Of Selah Integrated Health Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dynasty Of Selah Integrated Health Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dynasty Of Selah Integrated Health Services 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.
When was this NPI record last updated?
The NPPES record for Dynasty Of Selah Integrated Health Services PLLC was last updated on December 2, 2022. 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.
# Dynasty Of Selah Integrated Health Services Pllc · NPI 1114643905
Psychiatric/Mental Health organization in Oro Valley, Arizona. Organization record, active in the CMS NPPES registry since October 13, 2022.
## Identity
- **NPI:** 1114643905 (Entity type: Organization)
- **Enumerated:** October 13, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tara Cherry, OWNER OF ENTITY
## Practice location
- **Address:** 1846 E INNOVATION PARK DR, Oro Valley, AZ 85755-1963
- **Phone:** (770) 231-3593
## 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:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114643905) · Data from the CMS NPPES public registry.