BANNER URGENT CARE ARIZONA LLC
NPI 1316349855
Clinic/Center - Urgent Care in Casa Grande, AZ

Active since September 16, 2014CLIA 03D1047227 · Waiver
1676 E MCMURRAY BLVD STE 1, CASA GRANDE, AZ 85122(520) 316-0688(520) 316-0701 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2026, Jun 18, 2025, Jan 26, 2022 (3 updates tracked since 2022).

About Banner Urgent Care Arizona Llc NPPES

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

BANNER URGENT CARE ARIZONA LLC (NPI 1316349855) is a healthcare organization registered as an urgent care in Casa Grande, Arizona and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1316349855
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBANNER URGENT CARE ARIZONA LLC
Location Address1676 E MCMURRAY BLVD STE 1Casa Grande, AZ 85122-4798
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(520) 316-0701
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialPatrick PenroseVp · (602) 747-4000
Enumeration DateSeptember 16, 2014
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1316349855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1676 E MCMURRAY BLVD STE 1, Casa Grande, AZ 85122

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Urgent Care Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20111228000784Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

170

Medicare enrollment records show 170 clinicians reassign Medicare billing to Banner Urgent Care Arizona LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner145
Family Practice15
General Practice4
Emergency Medicine2
Pediatric Medicine2
Geriatric Medicine1
Sleep Medicine1

Nearest to this location (20)

See all 170
Nurse Practitioner
NPI 1578010609
1676 E MCMURRAY BLVD STE 1
Casa Grande, AZ 85122
(520) 316-0688
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306698469
1676 E MCMURRAY BLVD STE 1
Casa Grande, AZ 85122
(520) 316-0688
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427906437
1676 E MCMURRAY BLVD STE 1
Casa Grande, AZ 85122
(520) 316-0688
Same address
Nurse Practitioner
NPI 1255826806
10097
Casa Grande, AZ 85130
(520) 836-3446
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1427730423
14574 SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1760817050
17900 N PORTER RD
Maricopa, AZ 85138
(520) 233-2574
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1659676351
287 E HUNT HWY
San Tan Valley, AZ 85143
(480) 677-8282
✔ PECOS✔ Accepts Medicare21 mi
General Practice
NPI 1053993642
21300 N JOHN WAYNE PKWY STE 115
Maricopa, AZ 85139
(520) 426-3424
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1043776867
35945 N GARY RD
San Tan Valley, AZ 85143
(480) 827-5750
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1356854772
35945 N GARY RD
San Tan Valley, AZ 85143
(480) 827-5750
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1346902202
5980 S COOPER RD STE 1
Chandler, AZ 85249
(480) 704-3474
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1649620147
20713 E OCOTILLO RD UNIT 100
Queen Creek, AZ 85142
(480) 882-9993
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1326569427
3974 S HUDSON PL
Chandler, AZ 85286
(602) 885-3023
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1588674832
1100 S DOBSON RD STE 100
Chandler, AZ 85286
(480) 347-4300
✔ PECOS✔ Accepts Medicare29 mi
Pediatric Medicine
NPI 1528048287
1840 S STAPLEY DR
Mesa, AZ 85204
(480) 464-8500
✔ PECOS35 mi
Family Practice
NPI 1336106947
1151 N GILBERT RD
Mesa, AZ 85203
(480) 610-0688
✔ PECOS✔ Accepts Medicare38 mi
General Practice
NPI 1144849035
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-5271
✔ PECOS✔ Accepts Medicare45 mi
Emergency Medicine
NPI 1477967719
9201 W THOMAS RD
Phoenix, AZ 85037
(623) 327-4000
✔ PECOS52 mi
Geriatric Medicine
NPI 1639147838
2423 W DUNLAP AVE SUITE # 150
Phoenix, AZ 85021
(602) 216-6862
✔ PECOS✔ Accepts Medicare52 mi
Sleep Medicine
NPI 1851889232
5310 W THUNDERBIRD RD STE 301
Glendale, AZ 85306
(480) 412-6430
✔ PECOS✔ Accepts Medicare57 mi
See all 170 clinicians

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 03D1047227

Banner Urgent Care Arizona LLC · Casa Grande, AZ
Active · expires Oct 27, 2027
CLIA Number03D1047227
Laboratory TypeOther
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorRobert Johns
Laboratory Phone(520) 316-0688
Laboratory LocationBanner Urgent Care Arizona LLC1676 E Mcmurray Blvd Ste 1, Casa Grande, AZ 85122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Banner Urgent Care Arizona LLC's NPI number?

The NPI number for Banner Urgent Care Arizona LLC is 1316349855. It was assigned to this organization in the NPPES registry on September 16, 2014.

Where is Banner Urgent Care Arizona LLC located?

Banner Urgent Care Arizona LLC is located at 1676 E Mcmurray Blvd Ste 1, Casa Grande, AZ 85122. The listed phone number is (520) 316-0688.

What is Banner Urgent Care Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Banner Urgent Care Arizona LLC enrolled in Medicare?

Yes. Banner Urgent Care Arizona LLC is registered in the Medicare PECOS enrollment system.

When is Banner Urgent Care Arizona LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Banner Urgent Care Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 7 Medicare specialties reassign their Medicare billing to Banner Urgent Care Arizona 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. The largest specialties are Nurse Practitioner (145), Family Practice (15) and General Practice (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Urgent Care Arizona LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1047227) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Urgent Care Arizona LLC accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Banner Urgent Care Arizona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Urgent Care Arizona LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.