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PURE HEALTHCARE OF ARIZONA LLC
NPI 1619649076
Clinic/Center - Multi-Specialty in Gilbert, AZ

Active since October 04, 2021
1760 E PECOS RD STE 301, GILBERT, AZ 85295(801) 590-9267(801) 880-3566 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2025, Feb 8, 2024, Mar 16, 2023 and 1 more (4 updates tracked since 2021).

About Pure Healthcare Of Arizona Llc NPPES

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

PURE HEALTHCARE OF ARIZONA LLC (NPI 1619649076) is a healthcare organization registered as a multi-specialty in Gilbert, Arizona and active in the NPI registry since October 2021. The organization maintains 2 additional practice locations and lists Joshua Tandy, Director, as its authorized official.

NPPES Registry Identity

NPI1619649076
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE HEALTHCARE OF ARIZONA LLC
Location Address1760 E PECOS RD STE 301Gilbert, AZ 85295-3203
Mailing Address4179 S Riverboat Rd Ste 220Taylorsville, UT 84123-2986 · (855) 550-3358
Phone(801) 590-9267
Fax(801) 880-3566
Organization SubpartNo
Authorized OfficialJoshua TandyDirector · (801) 787-0731
Enumeration DateOctober 4, 2021
Last NPPES UpdateApril 11, 20254 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1619649076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1760 E PECOS RD STE 301, Gilbert, AZ 85295
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113657 W McDowell Rd Ste 204Goodyear, AZ 85395-2603 · Phone (015) 909-2678 · Fax (801) 880-3566
Location 29125 W Thunderbird Rd Ste 105Peoria, AZ 85381-4921 · Phone (801) 590-9267 · Fax (801) 880-3566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, UnitedHealthcare.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)

Pure Healthcare Of Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pure Healthcare Of Arizona LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jenifer Clark, FNP
Nurse Practitioner
NPI 1841703287
20185 E OCOTILLO RD STE 105
Queen Creek, AZ 85142
(888) 209-8874
✔ PECOS✔ Accepts Medicare6.9 mi
Marci Hageman, FNP
Nurse Practitioner
NPI 1861071532
2257 N ACACIA WAY
Buckeye, AZ 85396
(623) 202-9644
✔ PECOS✔ Accepts Medicare45 mi
Jonathan Baugh, D.O.
Emergency Medicine
NPI 1578882759
1380 E MEDICAL CENTER DR
St George, UT 84790
(435) 251-1000
✔ PECOS✔ Accepts Medicare281 mi
Robert Mannel, M.D.
Neurology
NPI 1093073181
1680 THE GREENS WAY STE 200
Jacksonville Beach, FL 32250
(904) 800-7380
✔ PECOS✔ Accepts Medicare1,792 mi

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 Pure Healthcare Of Arizona LLC's NPI number?

The NPI number for Pure Healthcare Of Arizona LLC is 1619649076. It was assigned to this organization in the NPPES registry on October 4, 2021.

Where is Pure Healthcare Of Arizona LLC located?

Pure Healthcare Of Arizona LLC is located at 1760 E Pecos Rd Ste 301, Gilbert, AZ 85295. The listed phone number is (801) 590-9267.

What is Pure Healthcare Of Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Pure Healthcare Of Arizona LLC enrolled in Medicare?

Yes. Pure Healthcare Of Arizona LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Healthcare Of Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pure Healthcare Of Arizona LLC, in Emergency Medicine, Neurology 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pure Healthcare Of Arizona LLC accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Pure Healthcare Of Arizona LLC 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 Pure Healthcare Of Arizona LLC was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.