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MUSICK'S MEDICAL PLLC
NPI 1346854676
Nurse Practitioner - Family in Kingman, AZ

Active since September 03, 2020CLIA 03D2193887 · Waiver
1111 RIATA VALLEY ROAD STE B, KINGMAN, AZ 86409(928) 681-0101(833) 989-2165 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2020, Nov 11, 2020, Oct 29, 2020 and 1 more (4 updates tracked since 2020).

About Musick's Medical Pllc NPPES

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

MUSICK'S MEDICAL PLLC (NPI 1346854676) is a healthcare organization registered as a family in Kingman, Arizona and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through September 24, 2028 and lists Jillian Marie Musick, Owner/fnp-c, as its authorized official.

NPPES Registry Identity

NPI1346854676
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMUSICK'S MEDICAL PLLC
Location Address1111 RIATA VALLEY ROAD STE BKingman, AZ 86409-3678
Mailing Address1111 Riata Valley Road Ste BKingman, AZ 86409-3678 · (928) 681-0101 · Fax (833) 989-2165
Phone(928) 681-0101
Fax(833) 989-2165
Organization SubpartNo
Authorized OfficialJillian Marie MusickOwner/fnp-c · (928) 681-0101
Enumeration DateSeptember 3, 2020
Last NPPES UpdateDecember 2, 20204 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1346854676 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
1111 RIATA VALLEY ROAD STE B, Kingman, AZ 86409
Open in Google Maps ↗

Other Identifiers 1

Other03D2193887AZ · Clia

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Musick's Medical 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 Musick's Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jillian Musick, FNP-C
Nurse Practitioner
NPI 1306367842
1111 RIATA VALLEY RD STE B
Kingman, AZ 86409
(286) 925-5249
✔ PECOS✔ Accepts MedicareSame address

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 03D2193887

Musick's Medical, PLLC · Kingman, AZ
Active · expires Sep 24, 2028
CLIA Number03D2193887
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 25, 2026
Certificate Expiration DateSeptember 24, 2028
Laboratory DirectorJillian M. Musick
Laboratory Phone(928) 681-0101
Laboratory LocationMusick's Medical, PLLC1111 Riata Valley Rd, Kingman, AZ 86409
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 Musick's Medical PLLC's NPI number?

The NPI number for Musick's Medical PLLC is 1346854676. It was assigned to this organization in the NPPES registry on September 3, 2020.

Where is Musick's Medical PLLC located?

Musick's Medical PLLC is located at 1111 Riata Valley Road Ste B, Kingman, AZ 86409. The listed phone number is (928) 681-0101.

What is Musick's Medical PLLC's specialty?

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

Is Musick's Medical PLLC enrolled in Medicare?

Yes. Musick's Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Musick's Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Musick's Medical 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.

Does Musick's Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2193887) is associated with this NPI, valid through September 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Musick's Medical PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Musick's Medical PLLC 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 Musick's Medical PLLC was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.