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PRESTIGE PRIMARY CARE, PLLC
NPI 1144797374
Nurse Practitioner - Primary Care in Queen Creek, AZ

Active since October 25, 2018
21321 E OCOTILLO RD STE 102, QUEEN CREEK, AZ 85142(480) 815-7074 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 5, 2022, Jun 3, 2020, Sep 25, 2019 and 3 more (6 updates tracked since 2018).

About Prestige Primary Care, Pllc NPPES

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

PRESTIGE PRIMARY CARE, PLLC (NPI 1144797374) is a healthcare organization registered as a primary care in Queen Creek, Arizona and active in the NPI registry since October 2018. The organization maintains 2 additional practice locations and lists Candee J Eisenhart, Owner, as its authorized official.

NPPES Registry Identity

NPI1144797374
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePRESTIGE PRIMARY CARE, PLLC
Location Address21321 E OCOTILLO RD STE 102Queen Creek, AZ 85142-5993
Mailing AddressPo Box 1009Queen Creek, AZ 85142-1821 · (480) 815-7074
Phone(480) 815-7074
Organization SubpartNo
Authorized OfficialCandee J EisenhartOwner · (480) 815-7074
Enumeration DateOctober 25, 2018
Last NPPES UpdateApril 5, 20226 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1144797374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
21321 E OCOTILLO RD STE 102, Queen Creek, AZ 85142
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Secondary Practice Locations 2

Location 16343 E Main St Ste B1Mesa, AZ 85205-8972 · Phone (480) 815-7074 · Fax (949) 404-6076
Location 21963 Commerce Center Cir Ste BPrescott, AZ 86301-4497 · Phone (480) 815-7074 · Fax (949) 404-6076

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ANN RIEKER-DAHL APRN
Nurse Practitioner (Family)
21321 E OCOTILLO RD STE 102
QUEEN CREEK, AZ 85142
Maricopa County (480) 815-7074
CANDEE J. EISENHART NP
Nurse Practitioner (Family)
21321 E OCOTILLO RD STE 102
QUEEN CREEK, AZ 85142
Maricopa County (480) 815-7074

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 Prestige Primary Care, PLLC's NPI number?

The NPI number for Prestige Primary Care, PLLC is 1144797374. It was assigned to this organization in the NPPES registry on October 25, 2018.

Where is Prestige Primary Care, PLLC located?

Prestige Primary Care, PLLC is located at 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142. The listed phone number is (480) 815-7074.

What is Prestige Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Prestige Primary Care, PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Prestige Primary Care, PLLC 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 Prestige Primary Care, PLLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.