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NORTHERN ARIZONA DERMATOLOGY CENTER PC
NPI 1477748069
Dermatology in Flagstaff, AZ

Active since September 07, 2007
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001(928) 774-5074(928) 779-0884 Get Directions Write a Review

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

About Northern Arizona Dermatology Center Pc NPPES

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

NORTHERN ARIZONA DERMATOLOGY CENTER PC (NPI 1477748069) is a healthcare organization registered as a dermatology in Flagstaff, Arizona and active in the NPI registry since September 2007. The organization lists Sara Joy Risner-rumohr, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477748069
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHERN ARIZONA DERMATOLOGY CENTER PC
Location Address1490 N TURQUOISE DRFlagstaff, AZ 86001
Mailing Address1490 N Turquoise DrFlagstaff, AZ 86001 · (928) 774-5074 · Fax (928) 779-0884
Phone(928) 774-5074
Fax(928) 779-0884
Organization SubpartNo
Authorized OfficialSara Joy Risner-rumohrCeo · (928) 774-5074
Enumeration DateSeptember 7, 2007
Last NPPES UpdateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1477748069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1490 N TURQUOISE DR, Flagstaff, AZ 86001
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Arizona Dermatology Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040206000555Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Northern Arizona Dermatology Center PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Scott Dale, MD
Dermatology
NPI 1760408785
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts MedicareSame address
Laurel Gray, MD, MS
Dermatology
NPI 1487117867
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts MedicareSame address
Jordan Miller, M.D.
Dermatology
NPI 1245303718
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts MedicareSame address
Brendan O'neill, M.D.
Dermatology
NPI 1013170695
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts MedicareSame address
Sara Risner-Rumohr, M.D.
Dermatology
NPI 1922319334
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts MedicareSame address
Kristina Paley, M.D.
Dermatology
NPI 1174729966
297 S WILLARD ST
Cottonwood, AZ 86326
(928) 639-9596
✔ PECOS✔ Accepts Medicare39 mi
Bradley Taylor, M.D.
Dermatology
NPI 1023338241
297 S WILLARD ST
Cottonwood, AZ 86326
(928) 639-9596
✔ PECOS✔ Accepts Medicare39 mi
Debora Andrews, MD
Dermatology
NPI 1508814179
450 S WILLARD ST STE 115
Cottonwood, AZ 86326
(928) 639-9596
✔ PECOS✔ Accepts Medicare40 mi

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 Northern Arizona Dermatology Center PC's NPI number?

The NPI number for Northern Arizona Dermatology Center PC is 1477748069. It was assigned to this organization in the NPPES registry on September 7, 2007.

Where is Northern Arizona Dermatology Center PC located?

Northern Arizona Dermatology Center PC is located at 1490 N Turquoise Dr, Flagstaff, AZ 86001. The listed phone number is (928) 774-5074.

What is Northern Arizona Dermatology Center PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Northern Arizona Dermatology Center PC enrolled in Medicare?

Yes. Northern Arizona Dermatology Center PC is registered in the Medicare PECOS enrollment system.

When is Northern Arizona Dermatology Center PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northern Arizona Dermatology Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Dermatology, reassign their Medicare billing to Northern Arizona Dermatology Center 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northern Arizona Dermatology Center PC accept?

Health plans from Cigna HealthCare of Arizona, Inc list Northern Arizona Dermatology Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Arizona Dermatology Center PC was last updated on May 18, 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.