BANNER URGENT CARE ARIZONA LLC
NPI 1194369074
Clinic/Center - Urgent Care in Payson, AZ

Active since November 04, 2019
101 E STATE HIGHWAY 260 STE G, PAYSON, AZ 85541(982) 478-8905 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2025, Dec 30, 2021, Nov 4, 2019 (3 updates tracked since 2019).

About Banner Urgent Care Arizona Llc NPPES

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

BANNER URGENT CARE ARIZONA LLC (NPI 1194369074) is a healthcare organization registered as an urgent care in Payson, Arizona and active in the NPI registry since November 2019. The organization lists Brian Standage, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194369074
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBANNER URGENT CARE ARIZONA LLC
Location Address101 E STATE HIGHWAY 260 STE GPayson, AZ 85541-4921
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Health
Authorized OfficialBrian StandageExecutive Director · (602) 747-4000
Enumeration DateNovember 4, 2019
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1194369074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
101 E STATE HIGHWAY 260 STE G, Payson, AZ 85541

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Urgent Care Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20111228000784Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

170

Medicare enrollment records show 170 clinicians reassign Medicare billing to Banner Urgent Care Arizona LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner145
Family Practice15
General Practice4
Emergency Medicine2
Pediatric Medicine2
Geriatric Medicine1
Sleep Medicine1

Nearest to this location (20)

See all 170
Family Practice
NPI 1871549519
7920 E THOMPSON PEAK PKWY #100
Scottsdale, AZ 85255
(480) 661-1679
✔ PECOS52 mi
Nurse Practitioner
NPI 1023312311
13400 E SHEA BLVD
Scottsdale, AZ 85259
(480) 301-8000
✔ PECOS✔ Accepts Medicare52 mi
Family Practice
NPI 1962460972
15223 N 87TH ST #110
Scottsdale, AZ 85260
(480) 682-4100
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1780570051
4412 W HEYERDAHL DR
Phoenix, AZ 85087
(623) 628-3814
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1982216594
16435 N SCOTTSDALE RD STE 285
Scottsdale, AZ 85254
(866) 849-0692
✔ PECOS54 mi
Nurse Practitioner
NPI 1396500492
5777 E MAYO BLVD
Phoenix, AZ 85054
(480) 342-3538
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1417621293
8994 E DESERT COVE AVE
Scottsdale, AZ 85260
(480) 551-2040
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1568087955
3210 E UNION HILLS DR
Phoenix, AZ 85050
(602) 788-4793
✔ PECOS✔ Accepts Medicare57 mi
Family Practice
NPI 1336106947
1151 N GILBERT RD
Mesa, AZ 85203
(480) 610-0688
✔ PECOS✔ Accepts Medicare61 mi
Family Practice
NPI 1386646297
3931 E CAMELBACK RD
Phoenix, AZ 85018
(602) 687-7858
✔ PECOS✔ Accepts Medicare64 mi
Family Practice
NPI 1043507718
19389 N 59TH AVE
Glendale, AZ 85308
(236) 537-6000
✔ PECOS✔ Accepts Medicare64 mi
Geriatric Medicine
NPI 1639147838
2423 W DUNLAP AVE SUITE # 150
Phoenix, AZ 85021
(602) 216-6862
✔ PECOS✔ Accepts Medicare65 mi
Sleep Medicine
NPI 1851889232
5310 W THUNDERBIRD RD STE 301
Glendale, AZ 85306
(480) 412-6430
✔ PECOS✔ Accepts Medicare65 mi
Pediatric Medicine
NPI 1528048287
1840 S STAPLEY DR
Mesa, AZ 85204
(480) 464-8500
✔ PECOS65 mi
Pediatric Medicine
NPI 1174503411
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-1900
✔ PECOS✔ Accepts Medicare67 mi
Family Practice
NPI 1053313452
5040 N 15TH AVE SUITE 202
Phoenix, AZ 85015
(602) 248-0123
✔ PECOS✔ Accepts Medicare67 mi
General Practice
NPI 1568667947
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
(602) 747-4000
✔ PECOS✔ Accepts Medicare68 mi
General Practice
NPI 1144849035
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-5271
✔ PECOS✔ Accepts Medicare68 mi
Emergency Medicine
NPI 1477967719
9201 W THOMAS RD
Phoenix, AZ 85037
(623) 327-4000
✔ PECOS75 mi
General Practice
NPI 1053993642
21300 N JOHN WAYNE PKWY STE 115
Maricopa, AZ 85139
(520) 426-3424
✔ PECOS✔ Accepts Medicare91 mi
See all 170 clinicians

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 Banner Urgent Care Arizona LLC's NPI number?

The NPI number for Banner Urgent Care Arizona LLC is 1194369074. It was assigned to this organization in the NPPES registry on November 4, 2019.

Where is Banner Urgent Care Arizona LLC located?

Banner Urgent Care Arizona LLC is located at 101 E State Highway 260 Ste G, Payson, AZ 85541. The listed phone number is (982) 478-8905.

What is Banner Urgent Care Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Banner Urgent Care Arizona LLC enrolled in Medicare?

Yes. Banner Urgent Care Arizona LLC is registered in the Medicare PECOS enrollment system.

When is Banner Urgent Care Arizona LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Banner Urgent Care Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 7 Medicare specialties reassign their Medicare billing to Banner Urgent Care Arizona 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 Nurse Practitioner (145), Family Practice (15) and General Practice (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Banner Urgent Care Arizona LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Banner Urgent Care Arizona 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 Banner Urgent Care Arizona LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.