PAYSON OUTPATIENT SERVICES CENTER
NPI 1548416514
Community/Behavioral Health in Payson, AZ
About Payson Outpatient Services Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAYSON OUTPATIENT SERVICES CENTER (NPI 1548416514) is a healthcare organization registered as a community/behavioral health in Payson, Arizona and active in the NPI registry since August 2008. The organization lists John F Hogeboom, Vp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Names 1
Other Identifiers 2
Accepted 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)
Payson Outpatient Services Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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.
Clinicians Billing Medicare Through This Organization
130Medicare enrollment records show 130 clinicians reassign Medicare billing to Payson Outpatient Services Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 130Source: 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 03D2119924
Payson Outpatient Service Center - 2 · Payson, AZFrequently 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 Community Bridges, Inc's NPI number?
The NPI number for Community Bridges, Inc is 1548416514. It was assigned to this organization in the NPPES registry on August 11, 2008. The provider is doing business as Payson Outpatient Services Center.
Where is Community Bridges, Inc located?
Community Bridges, Inc is located at 803 W Main St, Payson, AZ 85541. The listed phone number is (928) 468-0022.
What is Community Bridges, Inc's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Community Bridges, Inc enrolled in Medicare?
Yes. Community Bridges, Inc is registered in the Medicare PECOS enrollment system.
When is Community Bridges, Inc'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 November 30, 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 Community Bridges, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 9 Medicare specialties reassign their Medicare billing to Community Bridges, Inc. 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 Nurse Practitioner (100), Mental Health Counselor (12) and Clinical Social Worker (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Bridges, Inc accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Community Bridges, Inc 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 Community Bridges, Inc was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Payson Outpatient Services Center · NPI 1548416514
Community/Behavioral Health organization in Payson, Arizona. Organization record, active in the CMS NPPES registry since August 11, 2008.
## Identity
- **NPI:** 1548416514 (Entity type: Organization)
- **Enumerated:** August 11, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Community Bridges, Inc
- **Organization subpart:** Yes (part of Community Bridges, Inc)
- **Authorized official:** John Hogeboom, VP/COO
## Practice location
- **Address:** 803 W MAIN ST, Payson, AZ 85541-4993
- **Phone:** (928) 468-0022 · **Fax:** (928) 468-0044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 130 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (100), Mental Health Counselor (12), Clinical Social Worker (8); [full list](https://npiprofile.com/npi/1548416514/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
- **Other identifiers:** Medicaid 357379 (AZ); Other Z145164 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548416514) · Data from the CMS NPPES public registry.