DAN NURSE PRACTITIONER SERVICES, LLC
NPI 1477858801
Nurse Practitioner - Primary Care in Payson, AZ
About Dan Nurse Practitioner Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAN NURSE PRACTITIONER SERVICES, LLC (NPI 1477858801) is a healthcare organization registered as a primary care in Payson, Arizona and active in the NPI registry since January 2011. The organization lists Deborah Ann Nichols, Principal Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dan Nurse Practitioner Services, 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 Dan Nurse Practitioner Services, 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 Dan Nurse Practitioner Services, LLC's NPI number?
The NPI number for Dan Nurse Practitioner Services, LLC is 1477858801. It was assigned to this organization in the NPPES registry on January 15, 2011.
Where is Dan Nurse Practitioner Services, LLC located?
Dan Nurse Practitioner Services, LLC is located at 200 W Frontier St Suite M, Payson, AZ 85541. The listed phone number is (928) 595-1176.
What is Dan Nurse Practitioner Services, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Dan Nurse Practitioner Services, LLC enrolled in Medicare?
Yes. Dan Nurse Practitioner Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dan Nurse Practitioner Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dan Nurse Practitioner Services, 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 Dan Nurse Practitioner Services, LLC was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dan Nurse Practitioner Services, Llc · NPI 1477858801
Primary Care organization in Payson, Arizona. Organization record, active in the CMS NPPES registry since January 15, 2011.
## Identity
- **NPI:** 1477858801 (Entity type: Organization)
- **Enumerated:** January 15, 2011
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Deborah Nichols, PRINCIPAL OFFICER
## Practice location
- **Address:** 200 W FRONTIER ST, SUITE M, Payson, AZ 85541-5362
- **Phone:** (928) 595-1176 · **Fax:** (928) 478-6206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2014
- **Other identifiers:** Medicare UPIN P62785; Other 70871 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1477858801) · Data from the CMS NPPES public registry.