TWIN PEAKS ACQUAVIVA LLC
NPI 1477419836
Nurse Anesthetist, Certified Registered in Flagstaff, AZ
About Twin Peaks Acquaviva Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TWIN PEAKS ACQUAVIVA LLC (NPI 1477419836) is a healthcare organization registered as a nurse anesthetist, certified registered in Flagstaff, Arizona and active in the NPI registry since December 2025. The organization lists Melissa A Acquaviva, Owner, 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)
Twin Peaks Acquaviva Llc 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 Twin Peaks Acquaviva LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Twin Peaks Acquaviva LLC's NPI number?
The NPI number for Twin Peaks Acquaviva LLC is 1477419836. It was assigned to this organization in the NPPES registry on December 30, 2025.
Where is Twin Peaks Acquaviva LLC located?
Twin Peaks Acquaviva LLC is located at 1987 N Meteor Dr, Flagstaff, AZ 86001. The listed phone number is (928) 699-1421.
What is Twin Peaks Acquaviva LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Twin Peaks Acquaviva LLC enrolled in Medicare?
Yes. Twin Peaks Acquaviva LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Twin Peaks Acquaviva LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Twin Peaks Acquaviva 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Twin Peaks Acquaviva LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Twin Peaks Acquaviva Llc · NPI 1477419836
Nurse Anesthetist, Certified Registered organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since December 30, 2025.
## Identity
- **NPI:** 1477419836 (Entity type: Organization)
- **Enumerated:** December 30, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Melissa Acquaviva, OWNER
## Practice location
- **Address:** 1987 N METEOR DR, Flagstaff, AZ 86001-1144
- **Phone:** (928) 699-1421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477419836) · Data from the CMS NPPES public registry.