MESA PHYSICAL MEDICINE PLLC
NPI 1154774305
Nurse Practitioner - Primary Care in Mesa, AZ
About Mesa Physical Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MESA PHYSICAL MEDICINE PLLC (NPI 1154774305) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since July 2016. The organization lists Scott Taylor, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mesa Physical Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Mesa Physical Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Mesa Physical Medicine PLLC's NPI number?
The NPI number for Mesa Physical Medicine PLLC is 1154774305. It was assigned to this organization in the NPPES registry on July 22, 2016.
Where is Mesa Physical Medicine PLLC located?
Mesa Physical Medicine PLLC is located at 10207 E Hampton Ave Ste 105, Mesa, AZ 85209. The listed phone number is (480) 354-2008.
What is Mesa Physical Medicine PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Mesa Physical Medicine PLLC enrolled in Medicare?
Yes. Mesa Physical Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mesa Physical Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Mesa Physical Medicine 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. The largest specialties are Chiropractic (3), Physical Therapist in Private Practice (2) and Family Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mesa Physical Medicine PLLC accept?
Health plans from Cigna HealthCare of Arizona, Inc list Mesa Physical Medicine 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 Mesa Physical Medicine PLLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Mesa Physical Medicine Pllc · NPI 1154774305
Primary Care organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since July 22, 2016.
## Identity
- **NPI:** 1154774305 (Entity type: Organization)
- **Enumerated:** July 22, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Scott Taylor, CEO
## Practice location
- **Address:** 10207 E HAMPTON AVE STE 105, Mesa, AZ 85209-3336
- **Phone:** (480) 354-2008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (3), Physical Therapist in Private Practice (2), Family Practice (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154774305) · Data from the CMS NPPES public registry.