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BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
NPI 1154791960
Clinic/Center - Primary Care in Payson, AZ

Active since October 06, 2015CLIA Certified · 3 labs
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 471-3222 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Sep 13, 2024, Jul 26, 2024 and 2 more (5 updates tracked since 2021).

About Banner -- University Primary Care Physicians Llc NPPES

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

BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC (NPI 1154791960) is a healthcare organization registered as a primary care in Payson, Arizona and active in the NPI registry since October 2015. The organization holds 3 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Benjamin Schwartz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154791960
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Phone(928) 471-3222
Organization SubpartYesParent: Banner University Medical Group
Authorized OfficialBenjamin SchwartzCeo · (602) 747-4000
Enumeration DateOctober 6, 2015
Last NPPES UpdateApril 13, 20265 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1154791960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
807 S PONDEROSA ST, Payson, AZ 85541
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11300 N 12th St Ste 500Phoenix, AZ 85006-2849 · Phone (602) 839-4567
Location 21300 N 12th St Ste 605&608Phoenix, AZ 85006-2848 · Phone (602) 839-4567
Location 31300 N 12th St Ste 508Phoenix, AZ 85006-2849 · Phone (602) 839-3927
Location 44200 E Camelback Rd Ste 202Phoenix, AZ 85018-2718 · Phone (602) 229-2200

Other Identifiers 1

Medicaid086588AZ

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 3

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2303550

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Apr 25, 2028
CLIA Number03D2303550
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorJenna Buchanan
Laboratory Phone(602) 839-4567
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 500, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 03D0957416

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Oct 8, 2026
CLIA Number03D0957416
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorHarvey Hsu
Laboratory Phone(602) 839-3927
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 508, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0944984

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Apr 22, 2028
CLIA Number03D0944984
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorJenna Buchanan
Laboratory Phone(602) 839-2673
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 605, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

GUY CARAFFA CRNA
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (602) 273-6770
PAYSON HOSPITAL CORPORATION
General Acute Care Hospital
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-3222
PAYSON HOSPITAL CORPORATION
Medicare Defined Swing Bed Unit
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-3222
DR. JEFFREY CRAIG CROSBY MD
Radiology (Diagnostic Radiology)
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 472-1380
DR. LARRY GENE CROMWELL MD
Radiology (Diagnostic Radiology)
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 472-1357
DR. CHRISTOPHER C DUIVEN PHARM.D.
Pharmacist
807 S PONDEROSA ST, PHARMACY
PAYSON, AZ 85541
Gila County (928) 472-1253
CERTIFIED ANESTHESIA SERVICES, LTD.
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 472-1367
DR. TIMOTHY ROLF VEENSTRA M.D.
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 472-1341

Frequently Asked Questions

What is BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1154791960, enumerated as an "organization" on October 06, 2015.

Where is the provider located?

The provider is located at 807 S PONDEROSA ST PAYSON, AZ 85541 and the phone number is (928) 471-3222.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.