ACACIA FAMILY PRACTICE GROUP OF LAKE HAVASU, INC
NPI 1295469641
General Practice in Lake Havasu City, AZ

Active since July 12, 2022
1951 MESQUITE AVE STE H, LAKE HAVASU CITY, AZ 86403(928) 550-7036 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Acacia Family Practice Group Of Lake Havasu, Inc NPPES

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

ACACIA FAMILY PRACTICE GROUP OF LAKE HAVASU, INC (NPI 1295469641) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since July 2022. The organization lists Silvia Garcia, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1295469641
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameACACIA FAMILY PRACTICE GROUP OF LAKE HAVASU, INC
Location Address1951 MESQUITE AVE STE HLake Havasu City, AZ 86403-5746
Mailing Address1951 Mesquite Ave Ste HLake Havasu City, AZ 86403-5746 · (928) 550-7036
Organization SubpartNo
Authorized OfficialSilvia GarciaOwner/ceo · (928) 246-4025
Enumeration DateJuly 12, 2022
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1295469641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1951 MESQUITE AVE STE H, Lake Havasu City, AZ 86403

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acacia Family Practice Group Of Lake Havasu, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Acacia Family Practice Group Of Lake Havasu, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1669097051
675 S AVENUE B BLDG A
Yuma, AZ 85364
(928) 539-3140
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1093171456
888 W 16TH ST
Yuma, AZ 85364
(928) 550-7000
✔ PECOS✔ Accepts Medicare124 mi
Nurse Practitioner
NPI 1891714507
800 MERCY DR
Council Bluffs, IA 51503
(855) 524-4001
✔ PECOS✔ Accepts Medicare1,111 mi

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 Acacia Family Practice Group Of Lake Havasu, Inc's NPI number?

The NPI number for Acacia Family Practice Group Of Lake Havasu, Inc is 1295469641. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Acacia Family Practice Group Of Lake Havasu, Inc located?

Acacia Family Practice Group Of Lake Havasu, Inc is located at 1951 Mesquite Ave Ste H, Lake Havasu City, AZ 86403. The listed phone number is (928) 550-7036.

What is Acacia Family Practice Group Of Lake Havasu, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Acacia Family Practice Group Of Lake Havasu, Inc enrolled in Medicare?

Yes. Acacia Family Practice Group Of Lake Havasu, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acacia Family Practice Group Of Lake Havasu, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Acacia Family Practice Group Of Lake Havasu, Inc. 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 Acacia Family Practice Group Of Lake Havasu, Inc was last updated on January 18, 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.