TONTO APACHE HEALTHCARE LLC
NPI 1447843651
Clinic/Center - Primary Care in Payson, AZ
About Tonto Apache Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONTO APACHE HEALTHCARE LLC (NPI 1447843651) is a healthcare organization registered as a primary care in Payson, Arizona and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through September 30, 2028 and lists Lisa Carrasco, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Tonto Apache Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Tonto Apache Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 03D2205307
Tonto Apache Health Care · Payson, 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 Tonto Apache Healthcare LLC's NPI number?
The NPI number for Tonto Apache Healthcare LLC is 1447843651. It was assigned to this organization in the NPPES registry on February 18, 2021.
Where is Tonto Apache Healthcare LLC located?
Tonto Apache Healthcare LLC is located at 40 Tonto Apache Reservation, Payson, AZ 85541. The listed phone number is (928) 474-5000.
What is Tonto Apache Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tonto Apache Healthcare LLC enrolled in Medicare?
Yes. Tonto Apache Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tonto Apache Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Tonto Apache Healthcare 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 Clinical Social Worker (4) and Nurse Practitioner (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tonto Apache Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2205307) is associated with this NPI, valid through September 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tonto Apache Healthcare LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tonto Apache Healthcare Llc · NPI 1447843651
Primary Care organization in Payson, Arizona. Organization record, active in the CMS NPPES registry since February 18, 2021.
## Identity
- **NPI:** 1447843651 (Entity type: Organization)
- **Enumerated:** February 18, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Lisa Carrasco, ADMINISTRATOR
## Practice location
- **Address:** 40 TONTO APACHE RESERVATION, Payson, AZ 85541-5556
- **Phone:** (928) 474-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Nurse Practitioner (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447843651) · Data from the CMS NPPES public registry.