YAVAPAI PRIMARY CARE
NPI 1346871076
Family Medicine in Prescott Valley, AZ
About Yavapai Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YAVAPAI PRIMARY CARE (NPI 1346871076) is a healthcare organization registered as a family medicine in Prescott Valley, Arizona and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Sean Tessman, Owner / Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Yavapai Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Yavapai Primary Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Prescott Valley, AZ 86314
Prescott Valley, AZ 86314
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 03D2180268
Yavapai Primary Care LLC Dba Vital Healthcare · Prescott Valley, AZFrequently 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 Yavapai Primary Care's NPI number?
The NPI number for Yavapai Primary Care is 1346871076. It was assigned to this organization in the NPPES registry on January 31, 2020.
Where is Yavapai Primary Care located?
Yavapai Primary Care is located at 3075 N Windsong Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 350-8780.
What is Yavapai Primary Care's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Yavapai Primary Care enrolled in Medicare?
Yes. Yavapai Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yavapai Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Yavapai Primary Care. 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 (11), Family Practice (1) and Obstetrics/Gynecology (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Yavapai Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2180268) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Yavapai Primary Care accept?
Health plans from Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Yavapai Primary Care 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 Yavapai Primary Care was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Yavapai Primary Care · NPI 1346871076
Family Medicine organization in Prescott Valley, Arizona. Organization record, active in the CMS NPPES registry since January 31, 2020.
## Identity
- **NPI:** 1346871076 (Entity type: Organization)
- **Enumerated:** January 31, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sean Tessman, OWNER / MANAGER
## Practice location
- **Address:** 3075 N WINDSONG DR, Prescott Valley, AZ 86314-1208
- **Phone:** (928) 350-8780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (1), Obstetrics/Gynecology (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346871076) · Data from the CMS NPPES public registry.