ARROWHEAD MEDICAL AND WELLNESS CENTER
NPI 1255177580
Nurse Practitioner - Adult Health in Peoria, AZ

Active since July 05, 2024CLIA 03D2333338 · Waiver
16155 N 83RD AVE STE 207, PEORIA, AZ 85382(602) 803-7681 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Arrowhead Medical And Wellness Center NPPES

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

ARROWHEAD MEDICAL AND WELLNESS CENTER (NPI 1255177580) is a healthcare organization registered as an adult health in Peoria, Arizona and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Wilhelmina Sagoe Annor, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1255177580
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameANNSAGOE LLC
Location Address16155 N 83RD AVE STE 207Peoria, AZ 85382-5815
Mailing Address16155 N 83rd Ave Ste 207Peoria, AZ 85382-5815 · (602) 803-7681
Organization SubpartYesParent: 23-011022
Authorized OfficialWilhelmina Sagoe AnnorMedical Director · (602) 803-7681
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
✔ NPI 1255177580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
16155 N 83RD AVE STE 207, Peoria, AZ 85382

Other Names 1

Doing Business AsArrowhead Medical And Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arrowhead Medical And Wellness Center 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 Arrowhead Medical And Wellness Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1669079083
6380 E THOMAS RD STE 100
Scottsdale, AZ 85251
(480) 607-0606
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1679447247
2986 S ROCA ST
Gilbert, AZ 85295
(602) 300-3650
✔ PECOS✔ Accepts Medicare36 mi

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 03D2333338

Arrowhead Medical & Wellness Center · Peoria, AZ
Active · expires Nov 3, 2027
CLIA Number03D2333338
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorWilhelmina Sagoe Annor
Laboratory Phone(602) 803-7681
Laboratory LocationArrowhead Medical & Wellness Center16155 N 83rd Ave, Peoria, AZ 85382
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Annsagoe LLC's NPI number?

The NPI number for Annsagoe LLC is 1255177580. It was assigned to this organization in the NPPES registry on July 5, 2024. The provider is doing business as Arrowhead Medical And Wellness Center.

Where is Annsagoe LLC located?

Annsagoe LLC is located at 16155 N 83rd Ave Ste 207, Peoria, AZ 85382. The listed phone number is (602) 803-7681.

What is Annsagoe LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Annsagoe LLC enrolled in Medicare?

Yes. Annsagoe LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Annsagoe LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Annsagoe 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Annsagoe LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2333338) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Annsagoe LLC was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.