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PRIMROSE PRIMARY CARE AND WELLNESS
NPI 1366142887
Family Medicine in Scottsdale, AZ

Active since March 03, 2023CLIA 03D1016585 · Waiver
10715 N FRANK LLOYD WRIGHT BLVD STE 107, SCOTTSDALE, AZ 85259(480) 860-5533(480) 860-5005 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primrose Primary Care And Wellness NPPES

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

PRIMROSE PRIMARY CARE AND WELLNESS (NPI 1366142887) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Debra A Tatum, Family Medicine Physician, as its authorized official.

NPPES Registry Identity

NPI1366142887
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMROSE PRIMARY CARE AND WELLNESS
Location Address10715 N FRANK LLOYD WRIGHT BLVD STE 107Scottsdale, AZ 85259-2691
Mailing Address10715 N Frank Lloyd Wright Blvd Ste 107Scottsdale, AZ 85259-2691 · (480) 860-5533 · Fax (480) 860-5005
Phone(480) 860-5533
Fax(480) 860-5005
Organization SubpartNo
Authorized OfficialDebra A TatumFamily Medicine Physician · (309) 261-3784
Enumeration DateMarch 3, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1366142887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10715 N FRANK LLOYD WRIGHT BLVD STE 107, Scottsdale, AZ 85259
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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)

Primrose Primary Care And Wellness 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 Primrose Primary Care And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debra Tatum, M.D.
Family Practice
NPI 1861504052
10715 N FRANK LLOYD WRIGHT BLVD STE 107
Scottsdale, AZ 85259
(480) 860-5533
✔ 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 03D1016585

Primrose Primary Care And Wellness LLC · Scottsdale, AZ
Active · expires Sep 1, 2027
CLIA Number03D1016585
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorDebra A. Tatum
Laboratory Phone(480) 860-5533
Laboratory LocationPrimrose Primary Care And Wellness LLC10715 N Frank Lloyd Wright Blvd, Ste 107, Scottsdale, AZ 85259
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 Primrose Primary Care And Wellness's NPI number?

The NPI number for Primrose Primary Care And Wellness is 1366142887. It was assigned to this organization in the NPPES registry on March 3, 2023.

Where is Primrose Primary Care And Wellness located?

Primrose Primary Care And Wellness is located at 10715 N Frank Lloyd Wright Blvd Ste 107, Scottsdale, AZ 85259. The listed phone number is (480) 860-5533.

What is Primrose Primary Care And Wellness's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Primrose Primary Care And Wellness enrolled in Medicare?

Yes. Primrose Primary Care And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primrose Primary Care And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Primrose Primary Care And Wellness. 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 Primrose Primary Care And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1016585) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primrose Primary Care And Wellness was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.