CORONADO SURGERY CENTER LLC
NPI 1215489182
Clinic/Center - Ambulatory Surgical in Sierra Vista, AZ

Active since October 26, 2016
150 S CORONADO DR STE 100, SIERRA VISTA, AZ 85635(520) 335-8450(520) 335-8082 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2022, Jun 8, 2017, Oct 26, 2016 (3 updates tracked since 2016).

About Coronado Surgery Center Llc NPPES

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

CORONADO SURGERY CENTER LLC (NPI 1215489182) is a healthcare organization registered as an ambulatory surgical in Sierra Vista, Arizona and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Tucson and lists Jamie Michelle Moenster, Physician, as its authorized official.

NPPES Registry Identity

NPI1215489182
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCORONADO SURGERY CENTER LLC
Location Address150 S CORONADO DR STE 100Sierra Vista, AZ 85635-6301
Mailing Address150 S Coronado Dr Ste 100Sierra Vista, AZ 85635-6301 · (520) 335-8450 · Fax (520) 335-8082
Fax(520) 335-8082
Organization SubpartYes
Authorized OfficialJamie Michelle MoensterPhysician · (520) 207-3100
Enumeration DateOctober 26, 2016
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1215489182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
150 S CORONADO DR STE 100, Sierra Vista, AZ 85635

Secondary Practice Location 1

Location 15101 N Oracle Rd Ste 111Tucson, AZ 85704-3713 · Phone (520) 274-8500 · Fax (520) 365-2272

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)

Coronado Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Coronado Surgery Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1851515381
150 S CORONADO DR STE 110
Sierra Vista, AZ 85635
(520) 458-1787
✔ PECOS✔ Accepts Medicare0.3 mi
Plastic and Reconstructive Surgery
NPI 1710189931
698 E WETMORE RD STE 310
Tucson, AZ 85705
(520) 207-3100
✔ PECOS✔ Accepts Medicare64 mi

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 Coronado Surgery Center LLC's NPI number?

The NPI number for Coronado Surgery Center LLC is 1215489182. It was assigned to this organization in the NPPES registry on October 26, 2016.

Where is Coronado Surgery Center LLC located?

Coronado Surgery Center LLC is located at 150 S Coronado Dr Ste 100, Sierra Vista, AZ 85635. The listed phone number is (520) 335-8450.

What is Coronado Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Coronado Surgery Center LLC enrolled in Medicare?

Yes. Coronado Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coronado Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Coronado Surgery Center LLC, in Dermatology and Plastic and Reconstructive Surgery. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coronado Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Coronado Surgery Center 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 Coronado Surgery Center LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.