POPHEALTHCARE MEDICAL SERVICES OF AZ, PC
NPI 1417652454
Nurse Practitioner - Family in Tempe, AZ
About Pophealthcare Medical Services Of Az, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POPHEALTHCARE MEDICAL SERVICES OF AZ, PC (NPI 1417652454) is a healthcare organization registered as a family in Tempe, Arizona and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Susan Porter, Manager, Credentialing & Licensing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pophealthcare Medical Services Of Az, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Pophealthcare Medical Services Of Az, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 40Source: 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 03D2104518
Pophealthcare Medical Services Of Az, PC · Tempe, 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 Pophealthcare Medical Services Of Az, PC's NPI number?
The NPI number for Pophealthcare Medical Services Of Az, PC is 1417652454. It was assigned to this organization in the NPPES registry on March 31, 2023.
Where is Pophealthcare Medical Services Of Az, PC located?
Pophealthcare Medical Services Of Az, PC is located at 1438 W Broadway Rd Ste 101, Tempe, AZ 85282. The listed phone number is (877) 358-8109.
What is Pophealthcare Medical Services Of Az, PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pophealthcare Medical Services Of Az, PC enrolled in Medicare?
Yes. Pophealthcare Medical Services Of Az, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pophealthcare Medical Services Of Az, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 2 Medicare specialties reassign their Medicare billing to Pophealthcare Medical Services Of Az, PC. 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 (38) and Family Practice (2). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pophealthcare Medical Services Of Az, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2104518) is associated with this NPI, valid through November 4, 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 Pophealthcare Medical Services Of Az, PC was last updated on July 30, 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.
# Pophealthcare Medical Services Of Az, Pc · NPI 1417652454
Family organization in Tempe, Arizona. Organization record, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1417652454 (Entity type: Organization)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Susan Porter, MANAGER, CREDENTIALING & LICENSING
## Practice location
- **Address:** 1438 W BROADWAY RD STE 101, Tempe, AZ 85282-1173
- **Phone:** (877) 358-8109
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 40 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (2); 2 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1417652454/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417652454) · Data from the CMS NPPES public registry.