VALLEY INTEGRATED WELLNESS LLC
NPI 1477920064
Nurse Practitioner - Family in Peoria, AZ
About Valley Integrated Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY INTEGRATED WELLNESS LLC (NPI 1477920064) is a healthcare organization registered as a family in Peoria, Arizona and active in the NPI registry since August 2015. The organization lists Sandra L. Decarlo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Valley Integrated Wellness 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 Valley Integrated Wellness 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 Valley Integrated Wellness LLC's NPI number?
The NPI number for Valley Integrated Wellness LLC is 1477920064. It was assigned to this organization in the NPPES registry on August 31, 2015.
Where is Valley Integrated Wellness LLC located?
Valley Integrated Wellness LLC is located at 21585 N. 77th Avenue Suite 1500, Peoria, AZ 85382. The listed phone number is (623) 476-5227.
What is Valley Integrated Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Valley Integrated Wellness LLC enrolled in Medicare?
Yes. Valley Integrated Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Integrated Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Valley Integrated Wellness 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 Valley Integrated Wellness LLC was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Valley Integrated Wellness Llc · NPI 1477920064
Family organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since August 31, 2015.
## Identity
- **NPI:** 1477920064 (Entity type: Organization)
- **Enumerated:** August 31, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Sandra Decarlo, OWNER
## Practice location
- **Address:** 21585 N. 77TH AVENUE, SUITE 1500, Peoria, AZ 85382
- **Phone:** (623) 476-5227 · **Fax:** (623) 476-8379
## 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:** October 12, 2015
- **Other identifiers:** Medicare PIN Z181136 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1477920064) · Data from the CMS NPPES public registry.