PRIMA MEDICAL CARE LLC
NPI 1467225789
General Practice in Lake Havasu City, AZ
About Prima Medical Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMA MEDICAL CARE LLC (NPI 1467225789) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Kingman and lists Katie Jean Colonna, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Prima Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prima Medical Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prima Medical Care LLC's NPI number?
The NPI number for Prima Medical Care LLC is 1467225789. It was assigned to this organization in the NPPES registry on October 30, 2023.
Where is Prima Medical Care LLC located?
Prima Medical Care LLC is located at 99 Riviera Dr, Lake Havasu City, AZ 86403. The listed phone number is (928) 302-3798.
What is Prima Medical Care LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Prima Medical Care LLC enrolled in Medicare?
Yes. Prima Medical Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prima Medical Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prima Medical Care LLC, in General Practice and Nurse Practitioner. 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.
When was this NPI record last updated?
The NPPES record for Prima Medical Care LLC was last updated on October 3, 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.
# Prima Medical Care Llc · NPI 1467225789
General Practice organization in Lake Havasu City, Arizona. Organization record, active in the CMS NPPES registry since October 30, 2023.
## Identity
- **NPI:** 1467225789 (Entity type: Organization)
- **Enumerated:** October 30, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Katie Colonna, OWNER
## Practice location
- **Address:** 99 RIVIERA DR, Lake Havasu City, AZ 86403-5713
- **Phone:** (928) 302-3798
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467225789) · Data from the CMS NPPES public registry.