ELEVATE MEDICAL GROUP PLLC
NPI 1285402040
Nurse Practitioner - Family in Mesa, AZ
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
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)
Elevate Medical Group Pllc 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 Elevate Medical Group PLLC, 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 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.
Is Elevate Medical Group PLLC enrolled in Medicare?
Yes. Elevate Medical Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elevate Medical Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elevate Medical Group PLLC. 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 Elevate Medical Group PLLC was last updated on April 1, 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.
# Elevate Medical Group Pllc · NPI 1285402040
Family organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since December 12, 2023.
## Identity
- **NPI:** 1285402040 (Entity type: Organization)
- **Enumerated:** December 12, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Lee, OWNER
## Practice location
- **Address:** 2815 S ALMA SCHOOL RD STE 112, Mesa, AZ 85210-4046
- **Phone:** (480) 506-9701 · **Fax:** (877) 481-1550
## 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:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285402040) · Data from the CMS NPPES public registry.