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INNOVATIVE PRIMARY CARE LLC
NPI 1669437349
Legal Medicine in Gilbert, AZ

Active since April 18, 2006CLIA 03D1042934 · Waiver
2915 E BASELINE RD, #101, GILBERT, AZ 85234(480) 776-0626(480) 776-0627 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Innovative Primary Care Llc NPPES

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

INNOVATIVE PRIMARY CARE LLC (NPI 1669437349) is a healthcare organization registered as a legal medicine in Gilbert, Arizona and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Sandra Lynn Levitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1669437349
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameINNOVATIVE PRIMARY CARE LLC
Location Address2915 E BASELINE RD, #101Gilbert, AZ 85234-2425
Mailing Address2915 E Baseline Rd, #101Gilbert, AZ 85234-2425 · (480) 776-0626 · Fax (480) 776-0627
Phone(480) 776-0626
Fax(480) 776-0627
Organization SubpartNo
Authorized OfficialSandra Lynn LevittOwner · (480) 776-0626
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1669437349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in AZ · 23910
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
2915 E BASELINE RD, Gilbert, AZ 85234
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc..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)

Innovative Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Innovative Primary Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Sandra Levitt, MD
Internal Medicine
NPI 1225224660
2915 E BASELINE RD SUITE 101
Gilbert, AZ 85234
(480) 776-0626
✔ PECOS✔ Accepts MedicareSame address
Alexandra Settles, NP
Nurse Practitioner
NPI 1932702727
2915 E BASELINE RD STE 101
Gilbert, AZ 85234
(480) 776-0626
✔ PECOSSame address
Ciji Smith, FNP-C
Nurse Practitioner
NPI 1609582097
2915 E BASELINE RD STE 101
Gilbert, AZ 85234
(480) 776-0626
✔ PECOSSame address
Kay Southwell, PMHNP-BC,NPC
Nurse Practitioner
NPI 1730320623
1910 S STAPLEY DR STE 217
Mesa, AZ 85204
(602) 888-0370
✔ PECOS✔ Accepts Medicare2.3 mi
Devin Welker, FNP-C
Nurse Practitioner
NPI 1255976858
4135 S POWER RD STE 120
Mesa, AZ 85212
(480) 892-7000
✔ PECOS5.4 mi
Mary Bootz, FNP
Nurse Practitioner
NPI 1851842447
1760 E PECOS RD STE 215
Gilbert, AZ 85295
(480) 448-2411
✔ PECOS✔ Accepts Medicare5.7 mi
Roxie Anderson, APN RN
Nurse Practitioner
NPI 1558359109
1840 E BROADWAY RD
Tempe, AZ 85282
(602) 243-7277
✔ PECOS✔ Accepts Medicare8.3 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 of Waiver 03D1042934

Innovative Primary Care · Gilbert, AZ
Active · expires Jul 11, 2027
CLIA Number03D1042934
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorSandra L. Levitt, MD
Laboratory Phone(480) 776-0626
Laboratory LocationInnovative Primary Care2915 E Baseline Rd, Gilbert, AZ 85234
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 Innovative Primary Care LLC's NPI number?

The NPI number for Innovative Primary Care LLC is 1669437349. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Innovative Primary Care LLC located?

Innovative Primary Care LLC is located at 2915 E Baseline Rd #101, Gilbert, AZ 85234. The listed phone number is (480) 776-0626.

What is Innovative Primary Care LLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Innovative Primary Care LLC enrolled in Medicare?

Yes. Innovative Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Innovative Primary Care 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. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1042934) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Antidote Health Plan of Arizona, Inc. list Innovative Primary Care 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 Innovative Primary Care LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.