PONDEROSA FAMILY CARE, LLC
NPI 1144535626
Internal Medicine in Payson, AZ
About Ponderosa Family Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PONDEROSA FAMILY CARE, LLC (NPI 1144535626) is a healthcare organization registered as an internal medicine in Payson, Arizona and active in the NPI registry since August 2010. The organization holds 2 active CLIA laboratory certificates and lists Alan P Michels, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted 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)
Ponderosa Family Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Ponderosa Family Care, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 2
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 03D2187216
Ponderosa Family Care · Payson, AZCertificate of Waiver 03D2026773
Ponderosa Family Care · Payson, AZFrequently 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 Ponderosa Family Care, LLC's NPI number?
The NPI number for Ponderosa Family Care, LLC is 1144535626. It was assigned to this organization in the NPPES registry on August 9, 2010.
Where is Ponderosa Family Care, LLC located?
Ponderosa Family Care, LLC is located at 806 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 468-8603.
What is Ponderosa Family Care, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ponderosa Family Care, LLC enrolled in Medicare?
Yes. Ponderosa Family Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ponderosa Family Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Ponderosa Family 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 Internal Medicine (3), Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ponderosa Family Care, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Ponderosa Family Care, LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Ponderosa Family Care, 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 Ponderosa Family Care, LLC was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ponderosa Family Care, Llc · NPI 1144535626
Internal Medicine organization in Payson, Arizona. Organization record, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1144535626 (Entity type: Organization)
- **Enumerated:** August 9, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Alan Michels, PHYSICIAN
## Practice location
- **Address:** 806 S PONDEROSA ST, Payson, AZ 85541-5541
- **Phone:** (928) 468-8603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (3), Clinical Social Worker (2); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2014
- **Other identifiers:** Medicare PIN Z74003 (AZ); Medicare UPIN H42890 (AZ); Medicaid 703422 (AZ)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144535626) · Data from the CMS NPPES public registry.