MINGUS MOUNTAIN PRIMARY CARE PLLC
NPI 1245991785
Family Medicine in Cottonwood, AZ
About Mingus Mountain Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINGUS MOUNTAIN PRIMARY CARE PLLC (NPI 1245991785) is a healthcare organization registered as a family medicine in Cottonwood, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Michael Aranda, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mingus Mountain Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mingus Mountain Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 03D2257956
Mingus Mountain Primary Care, PLLC · Cottonwood, AZFrequently 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 Mingus Mountain Primary Care PLLC's NPI number?
The NPI number for Mingus Mountain Primary Care PLLC is 1245991785. It was assigned to this organization in the NPPES registry on January 6, 2022.
Where is Mingus Mountain Primary Care PLLC located?
Mingus Mountain Primary Care PLLC is located at 450 S Willard St Ste 107, Cottonwood, AZ 86326. The listed phone number is (928) 848-6161.
What is Mingus Mountain Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mingus Mountain Primary Care PLLC enrolled in Medicare?
Yes. Mingus Mountain Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mingus Mountain Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mingus Mountain Primary Care PLLC, in Family Practice and Nurse Practitioner. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mingus Mountain Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2257956) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mingus Mountain Primary Care PLLC was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mingus Mountain Primary Care Pllc · NPI 1245991785
Family Medicine organization in Cottonwood, Arizona. Organization record, active in the CMS NPPES registry since January 6, 2022.
## Identity
- **NPI:** 1245991785 (Entity type: Organization)
- **Enumerated:** January 6, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michael Aranda, PROVIDER/OWNER
## Practice location
- **Address:** 450 S WILLARD ST STE 107, Cottonwood, AZ 86326-6744
- **Phone:** (928) 848-6161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245991785) · Data from the CMS NPPES public registry.