ELEVATE MEDICAL GROUP PLLC
NPI 1285402040
Nurse Practitioner - Family in Mesa, AZ

Active since December 12, 2023
2815 S ALMA SCHOOL RD STE 112, MESA, AZ 85210(480) 506-9701(877) 481-1550 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2024, Dec 12, 2023 (2 updates tracked since 2023).

About Elevate Medical Group Pllc NPPES

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

ELEVATE MEDICAL GROUP PLLC (NPI 1285402040) is a healthcare organization registered as a family in Mesa, Arizona and active in the NPI registry since December 2023. The organization lists Kimberly Dawn Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1285402040
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELEVATE MEDICAL GROUP PLLC
Location Address2815 S ALMA SCHOOL RD STE 112Mesa, AZ 85210-4046
Mailing Address2815 S Alma School Rd Ste 112Mesa, AZ 85210-4046 · (480) 506-9701 · Fax (877) 481-1550
Fax(877) 481-1550
Organization SubpartNo
Authorized OfficialKimberly Dawn LeeOwner · (602) 412-7677
Enumeration DateDecember 12, 2023
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
NPI 1285402040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2815 S ALMA SCHOOL RD STE 112, Mesa, AZ 85210

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 03D2308359

Elevate Medical Group PLLC · Mesa, AZ
Expired · Jul 24, 2026
CLIA Number03D2308359
Laboratory TypePractitioner Other
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorKimberly D. Lee
Laboratory Phone(480) 506-9701
Laboratory LocationElevate Medical Group PLLC2815 S Alma School Rd Ste 112, Mesa, AZ 85210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2815 S ALMA SCHOOL RD STE 112
MESA, AZ 85210
Nurse Practitioner (Adult Health)
2815 S ALMA SCHOOL RD STE 112
MESA, AZ 85210
Nurse Practitioner (Family)
2815 S ALMA SCHOOL RD STE 112
MESA, AZ 85210

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 Elevate Medical Group PLLC's NPI number?

The NPI number for Elevate Medical Group PLLC is 1285402040. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Elevate Medical Group PLLC located?

Elevate Medical Group PLLC is located at 2815 S Alma School Rd Ste 112, Mesa, AZ 85210. The listed phone number is (480) 506-9701.

What is Elevate Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elevate Medical Group PLLC was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.