COPPER QUEEN MEDICAL ASSOCIATES
NPI 1508137209
Point of Service in Bisbee, AZ

Active since January 26, 2012CLIA 03D0952625 · Waiver

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Copper Queen Medical Associates NPPES

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

COPPER QUEEN MEDICAL ASSOCIATES (NPI 1508137209) is a healthcare organization registered as a point of service in Bisbee, Arizona and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Robert Seamon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508137209
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameBISBEE HOSPITAL ASSOCIATION
Location Address7 BISBEE RDBisbee, AZ 85603-1140
Mailing Address101 Cole AveBisbee, AZ 85603-1327 · (520) 432-2042
Organization SubpartYesParent: Bisbee Hospital Association Copper Queen Community Hospital
Authorized OfficialRobert SeamonCeo · (520) 432-6400
Enumeration DateJanuary 26, 2012
Last NPPES UpdateSeptember 23, 2019
✔ NPI 1508137209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in AZ · H0098
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
7 BISBEE RD, Bisbee, AZ 85603

Other Names 1

Doing Business AsCopper Queen Medical Associates

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Copper Queen Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

127

Medicare enrollment records show 127 clinicians reassign Medicare billing to Copper Queen Medical Associates, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Emergency Medicine43
Nurse Practitioner36
Family Practice15
Certified Registered Nurse Anesthetist (CRNA)9
Internal Medicine4
Gastroenterology3
General Practice2
General Surgery2
11 other specialties13

Nearest to this location (20)

See all 127
Nurse Practitioner
NPI 1558750935
7 BISBEE RD
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1235149295
7 BISBEE RD
Bisbee, AZ 85603
(520) 432-2042
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1235249251
7 BISBEE RD
Bisbee, AZ 85603
(520) 432-2042
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1275148694
7 BISBEE RD
Bisbee, AZ 85603
(520) 432-2042
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1851391684
101 COLE AVE
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1437395092
101 COLE AVE
Bisbee, AZ 85603
(520) 432-6481
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1992577134
101 COLE AVE
Bisbee, AZ 85603
(520) 432-6481
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1760127856
101 COLE AVE
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1669117594
101 COLE AVE
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1740141910
101 COLE AVE
Bisbee, AZ 85603
(520) 432-2042
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1427022755
101 COLE AVE
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1407857196
101 COLE AVE
Bisbee, AZ 85603
(520) 432-6481
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1285615070
101 COLE AVE
Bisbee, AZ 85603
(520) 432-6484
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1730399353
101 COLE AVE
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1205597242
101 COLE AVE
Bisbee, AZ 85603
(204) 325-3835
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1205415163
101 COLE AVE # AE
Bisbee, AZ 85603
(520) 432-5383
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1780813832
108 ARIZONA ST
Bisbee, AZ 85603
(520) 432-3309
✔ PECOS0.4 mi
Certified Nurse Midwife (CNM)
NPI 1326380668
7 BISBEE RD
Bisbee, AZ 85603
(520) 432-5838
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1376779256
10524 E HIGHWAY 92
Bisbee, AZ 85603
(520) 432-2042
✔ PECOS1.1 mi
Emergency Medicine
NPI 1033748777
COPPER QUEEN COMMUNITY HOSPITAL 101 COLE AVE
Bisbee, AZ 85603
(310) 618-4910
✔ PECOS✔ Accepts Medicare3.1 mi
See all 127 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0952625

Copper Queen Medical Associates - Bisbee · Bisbee, AZ
Active · expires Feb 28, 2027
CLIA Number03D0952625
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorPeggy M. Avina
Laboratory Phone(520) 432-2042
Laboratory LocationCopper Queen Medical Associates - Bisbee7 Bisbee Rd, Bisbee, AZ 85603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bisbee Hospital Association's NPI number?

The NPI number for Bisbee Hospital Association is 1508137209. It was assigned to this organization in the NPPES registry on January 26, 2012. The provider is doing business as Copper Queen Medical Associates.

Where is Bisbee Hospital Association located?

Bisbee Hospital Association is located at 7 Bisbee Rd, Bisbee, AZ 85603. The listed phone number is (520) 432-2042.

What is Bisbee Hospital Association's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Bisbee Hospital Association enrolled in Medicare?

Yes. Bisbee Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bisbee Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 127 clinicians in 19 Medicare specialties reassign their Medicare billing to Bisbee Hospital Association. 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. The largest specialties are Emergency Medicine (43), Nurse Practitioner (36) and Family Practice (15). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bisbee Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0952625) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bisbee Hospital Association accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Bisbee Hospital Association 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 Bisbee Hospital Association was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.