CAPRICORN HEALTH LLC
NPI 1265295406
Nurse Practitioner - Family in Chandler, AZ
About Capricorn Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAPRICORN HEALTH LLC (NPI 1265295406) is a healthcare organization registered as a family in Chandler, Arizona and active in the NPI registry since January 2024. The organization lists Marina Kandova, 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)
Capricorn Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Capricorn Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Capricorn Health LLC's NPI number?
The NPI number for Capricorn Health LLC is 1265295406. It was assigned to this organization in the NPPES registry on January 31, 2024.
Where is Capricorn Health LLC located?
Capricorn Health LLC is located at 1750 W Frye Rd, Chandler, AZ 85224. The listed phone number is (480) 899-0641.
What is Capricorn Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Capricorn Health LLC enrolled in Medicare?
Yes. Capricorn Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Capricorn Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Capricorn Health 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.
When was this NPI record last updated?
The NPPES record for Capricorn Health LLC was last updated on January 31, 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.
# Capricorn Health Llc · NPI 1265295406
Family organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since January 31, 2024.
## Identity
- **NPI:** 1265295406 (Entity type: Organization)
- **Enumerated:** January 31, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Marina Kandova, OWNER
## Practice location
- **Address:** 1750 W FRYE RD, Chandler, AZ 85224-6181
- **Phone:** (480) 899-0641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265295406) · Data from the CMS NPPES public registry.