AFFINITY FAMILY MEDICINE
NPI 1275225039
Nurse Practitioner - Family in Chandler, AZ
About Affinity Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFFINITY FAMILY MEDICINE (NPI 1275225039) is a healthcare organization registered as a family in Chandler, Arizona and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Ashlee P Dauscha, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Affinity Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Affinity Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 03D2293597
Affinity Family Medicine, PLLC · Chandler, 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 Affinity Family Medicine's NPI number?
The NPI number for Affinity Family Medicine is 1275225039. It was assigned to this organization in the NPPES registry on May 22, 2023.
Where is Affinity Family Medicine located?
Affinity Family Medicine is located at 2075 W Warner Rd Ste 1, Chandler, AZ 85224. The listed phone number is (480) 788-9510.
What is Affinity Family Medicine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Affinity Family Medicine enrolled in Medicare?
Yes. Affinity Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Affinity Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Affinity Family Medicine. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Affinity Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2293597) is associated with this NPI, valid through November 12, 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 Affinity Family Medicine was last updated on September 17, 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.
# Affinity Family Medicine · NPI 1275225039
Family organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1275225039 (Entity type: Organization)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ashlee Dauscha, NURSE PRACTITIONER
## Practice location
- **Address:** 2075 W WARNER RD STE 1, Chandler, AZ 85224-2109
- **Phone:** (480) 788-9510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275225039) · Data from the CMS NPPES public registry.