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PARKER MEDICAL CENTER, LTD.
NPI 1568469906
Clinic/Center - Rural Health in Parker, AZ

Active since June 30, 2005CLIA 03D0531162 · Microscopy
905 FIESTA, PARKER, AZ 85344(928) 669-2225(928) 669-6751 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Parker Medical Center, Ltd. NPPES

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

PARKER MEDICAL CENTER, LTD. (NPI 1568469906) is a healthcare organization registered as a rural health in Parker, Arizona and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Alicia Ann Shillito, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568469906
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePARKER MEDICAL CENTER, LTD.
Location Address905 FIESTAParker, AZ 85344-5152
Mailing Address905 FiestaParker, AZ 85344-5152 · (928) 669-2225 · Fax (928) 669-6751
Phone(928) 669-2225
Fax(928) 669-6751
Organization SubpartNo
Authorized OfficialAlicia Ann ShillitoOffice Manager · (928) 669-2225
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 25, 2016
✔ NPI 1568469906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 32755 (AZ)
905 FIESTA, Parker, AZ 85344
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Other Identifiers 4

Medicare UPINH18832
Medicare ID-Type Unspecified77384
Medicaid862690AZ
Medicare OSCAR/certification033836AZ

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parker Medical Center, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Parker Medical Center, Ltd., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Keith Shillito, M.D.
Family Practice
NPI 1417954850
9550 E GOLF LINKS RD STE 100
Tucson, AZ 85730
(520) 910-0207
✔ PECOS✔ Accepts Medicare244 mi
Sandra Matheny, AGNP-C
Nurse Practitioner
NPI 1134854615
198 S CORONADO DR STE A
Sierra Vista, AZ 85635
(520) 220-5020
✔ PECOS✔ Accepts Medicare294 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0531162

Parker Medical Center, Ltd · Parker, AZ
Active · expires Aug 31, 2028
CLIA Number03D0531162
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKeith W. Shillito
Laboratory Phone(928) 669-2225
Laboratory LocationParker Medical Center, Ltd905 Fiesta Ave, Parker, AZ 85344
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Parker Medical Center, Ltd.'s NPI number?

The NPI number for Parker Medical Center, Ltd. is 1568469906. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Parker Medical Center, Ltd. located?

Parker Medical Center, Ltd. is located at 905 Fiesta, Parker, AZ 85344. The listed phone number is (928) 669-2225.

What is Parker Medical Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Parker Medical Center, Ltd. enrolled in Medicare?

Yes. Parker Medical Center, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Parker Medical Center, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Parker Medical Center, Ltd., in Family Practice and Nurse Practitioner. 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.

Does Parker Medical Center, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0531162) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parker Medical Center, Ltd. was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.