NORTHERN ARIZONA HEALTHCARE CORPORATION
Medicare Clinicians for NPI 1669914552
Family Medicine in Flagstaff, AZ

Active since November 09, 2016
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001(928) 773-2546(928) 213-6292 Get Directions

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2019, Nov 15, 2016, Nov 9, 2016 (3 updates tracked since 2016).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Northern Arizona Healthcare Corporation in Flagstaff, AZ bills Medicare for 552 clinicians across 44 Medicare specialties. The largest specialties are Nurse Practitioner with 71, Anesthesiology with 51 and Hospitalist with 45. Of these, 128 practice at this address and 218 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

552Clinicians
44Medicare specialties
484PECOS enrolled
467Accept Medicare
Showing the 250 nearest of 552 clinicians, in 40 specialties

This page lists the 250 clinicians practicing nearest to this organization's location. All 552 are counted in the totals above.

Nurse Practitioner (45 of 71)

Nurse Practitioner
NPI 1780548917
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 310-9400
✔ PECOSSame address
Nurse Practitioner
NPI 1558649186
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOSSame address
Nurse Practitioner
NPI 1215706767
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942164959
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOSSame address
Nurse Practitioner
NPI 1255438818
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOSSame address
Nurse Practitioner
NPI 1942818398
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2120
✔ PECOSSame address
Nurse Practitioner
NPI 1588189567
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOSSame address
Nurse Practitioner
NPI 1912378118
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOSSame address
Nurse Practitioner
NPI 1659670115
1200 N BEAVER ST
Flagstaff, AZ 86001
(402) 499-3969
✔ PECOSSame address
Nurse Practitioner
NPI 1992145676
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2120
✔ PECOSSame address
Nurse Practitioner
NPI 1437917937
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619748548
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOSSame address
Nurse Practitioner
NPI 1467810739
1200 N BEAVER ST TRAUMA SERVICES
Flagstaff, AZ 86001
(928) 773-2457
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427516053
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 799-3366
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689430381
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417908112
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992424923
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134381973
1215 N BEAVER ST STE 203
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235481458
1215 N BEAVER ST STE 203
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245664887
1000 N HUMPHREYS ST
Flagstaff, AZ 86001
(928) 214-3537
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1861582447
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1649641135
107 E OAK AVE
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1255799789
107 E OAK AVE SUITE 201
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1033494901
107 E OAK AVE SUITE 201
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1285405514
107 E OAK AVE STE 201
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1669289070
107 E OAK AVE STE 201
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1831075696
1895 N JASPER DR
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1952298770
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1770383101
1895 N JASPER DR STE 1
Flagstaff, AZ 86001
(928) 773-2332
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1457667867
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 226-6430
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1801936513
940 E HATTIE GREENE
Flagstaff, AZ 86001
(928) 607-2607
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1023051273
2700 S WOODLANDS VLG BLVD STE 700
Flagstaff, AZ 86001
(928) 440-5406
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1356901573
2625 N KING ST
Flagstaff, AZ 86004
(928) 679-7222
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1710679931
2201 N VICKEY ST STE 110
Flagstaff, AZ 86004
(928) 213-9460
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1194113399
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1154082840
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1003337981
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1114397957
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1295341089
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1235830068
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1114349784
300 E PAPAGO DR
Flagstaff, AZ 86005
(928) 504-4700
✔ PECOS3.2 mi
Nurse Practitioner
NPI 1518023167
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
✔ PECOS4.0 mi
Nurse Practitioner
NPI 1639461445
2050 E CHISHOLM TRL
Flagstaff, AZ 86001
(928) 714-9379
✔ PECOS4.5 mi
Nurse Practitioner
NPI 1821182429
3700 W STATE ROUTE 89A
Sedona, AZ 86336
(928) 204-4163
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1437139474
61 BELL ROCK PLZ
Sedona, AZ 86351
(928) 204-4999
✔ PECOS✔ Accepts Medicare30 mi

Anesthesiology (27 of 51)

Anesthesiology
NPI 1841585353
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1508803602
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1831775899
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1598947780
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1659830974
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1427583566
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1023402963
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 639-6150
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1780146696
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1144724527
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1588199319
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1750963484
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1548279276
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1780976985
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1588601678
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1619986304
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1205845815
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOSSame address
Anesthesiology
NPI 1447464235
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1821294927
1200 N BEAVER ST
Flagstaff, AZ 86001
(287) 793-3669
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1679610042
1200 N BEAVER ST
Flagstaff, AZ 86001
(287) 793-3669
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1255695870
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1003127341
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1316434103
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1043713878
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1093061657
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1508038399
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts Medicare1.4 mi
Anesthesiology
NPI 1235494709
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6150
✔ PECOS✔ Accepts Medicare39 mi
Anesthesiology
NPI 1952443202
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6150
✔ PECOS✔ Accepts Medicare39 mi

Hospitalist (23 of 45)

Hospitalist
NPI 1265018956
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1285862482
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1659833176
1200 N BEAVER ST
Flagstaff, AZ 86001
(282) 142-9209
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1649285446
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1497250906
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1831484500
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOSSame address
Hospitalist
NPI 1851387278
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1225397896
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1184970592
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2451
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1740544253
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2451
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1710471750
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1528334505
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2451
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1376711572
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1932137486
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1043607377
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2451
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1982067302
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1518209964
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1083818504
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1275508863
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1750476685
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1740473438
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1669452348
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-5588
✔ PECOS✔ Accepts Medicare39 mi
Hospitalist
NPI 1649625278
269 S CANDY LN
Cottonwood, AZ 86326
(928) 634-2251
✔ PECOS✔ Accepts Medicare39 mi

Certified Registered Nurse Anesthetist (CRNA) (17 of 44)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1669989877
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477274751
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114719176
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2113
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376429316
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205763687
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912187329
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407333552
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558247593
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376001321
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2505
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982163713
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861419756
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003268749
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013269307
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497935670
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467108308
1200B N BEAVER ST
Flagstaff, AZ 86001
(801) 574-4297
✔ Accepts Medicare0.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114517554
269 S CANDY LN
Cottonwood, AZ 86326
(928) 634-2251
✔ Accepts Medicare39 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366116279
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6150
✔ Accepts Medicare39 mi

Physical Therapist in Private Practice (13 of 16)

Physical Therapist in Private Practice
NPI 1518828664
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6470
Same address
Physical Therapist in Private Practice
NPI 1093650939
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2125
Same address
Physical Therapist in Private Practice
NPI 1881909315
77 W FOREST AVE SUITE 301
Flagstaff, AZ 86001
(928) 214-2836
✔ Accepts Medicare0.2 mi
Physical Therapist in Private Practice
NPI 1376129387
1485 N TURQUOISE DR STE 220
Flagstaff, AZ 86001
(928) 774-6626
0.3 mi
Physical Therapist in Private Practice
NPI 1134319700
1072 E OLD CANYON CT
Flagstaff, AZ 86001
(928) 220-7504
1.4 mi
Physical Therapist in Private Practice
NPI 1942615778
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ Accepts Medicare2.2 mi
Physical Therapist in Private Practice
NPI 1225755382
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 773-2425
✔ Accepts Medicare2.4 mi
Physical Therapist in Private Practice
NPI 1124602537
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi
Physical Therapist in Private Practice
NPI 1336551803
7810 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 522-8375
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1972245140
7810 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 522-8375
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1790449650
7810 N US HIGHWAY 89 STE 270-280
Flagstaff, AZ 86004
(928) 522-8375
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1780113654
7810 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 522-8375
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1114307741
7810 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 522-8375
✔ Accepts Medicare5.8 mi

Family Practice (12 of 23)

Family Practice
NPI 1376930669
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457300253
107 E OAK AVE
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1558473744
107 E OAK AVE
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1639479041
107 E OAK AVE
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1053383950
107 E OAK AVE
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1952753733
107 E OAK AVE STE 201
Flagstaff, AZ 86001
(928) 380-5689
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1790721777
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1669158135
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS0.8 mi
Family Practice
NPI 1912657594
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1467448142
3400 ESCALANTE OVI
Flagstaff, AZ 86001
(928) 226-1239
✔ PECOS✔ Accepts Medicare8.9 mi
Family Practice
NPI 1972573533
61 BELL ROCK PLZ
Sedona, AZ 86351
(928) 204-4999
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1770657132
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6172
✔ PECOS39 mi

Internal Medicine (9 of 41)

Internal Medicine
NPI 1780987073
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245882372
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245859123
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891149043
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487663084
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOSSame address
Internal Medicine
NPI 1841586906
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1629284211
107 E OAK AVE
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1518996792
3700 W STATE ROUTE 89A
Sedona, AZ 86336
(928) 204-4944
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1346290962
340 S WILLARD ST
Cottonwood, AZ 86326
(928) 639-6025
✔ PECOS✔ Accepts Medicare39 mi

Orthopedic Surgery (7 of 19)

Orthopedic Surgery
NPI 1861758096
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1750513461
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1174844138
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1710119953
107 E OAK AVE STE 101
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1376740852
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1669960365
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1821252925
340 S WILLARD ST STE 101
Cottonwood, AZ 86326
(928) 639-7960
✔ PECOS✔ Accepts Medicare39 mi

Qualified Speech Language Pathologist (7)

Qualified Speech Language Pathologist
NPI 1487773982
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6239
Same address
Qualified Speech Language Pathologist
NPI 1275920928
1215 N. BEAVER ST
Flagstaff, AZ 86001
(928) 773-2054
Same address
Qualified Speech Language Pathologist
NPI 1740476449
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2312
Same address
Qualified Speech Language Pathologist
NPI 1184301855
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(806) 290-8605
4.0 mi
Qualified Speech Language Pathologist
NPI 1407637762
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi
Qualified Speech Language Pathologist
NPI 1326632829
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi
Qualified Speech Language Pathologist
NPI 1851818561
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi

Critical Care (Intensivists) (6 of 20)

Critical Care (Intensivists)
NPI 1801264353
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1487889796
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1811457674
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1073515862
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1588615173
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-0003
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1750772901
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address

Pediatric Medicine (6 of 15)

Pediatric Medicine
NPI 1306032701
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-2120
✔ PECOSSame address
Pediatric Medicine
NPI 1184609943
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOSSame address
Pediatric Medicine
NPI 1841744554
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1154586071
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ PECOSSame address
Pediatric Medicine
NPI 1457500738
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1003200577
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2112
✔ PECOSSame address

Psychiatry (6 of 7)

Psychiatry
NPI 1114410891
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6415
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1659492627
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6415
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1821451808
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6415
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1245810217
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(289) 138-8009
✔ PECOS✔ Accepts Medicare0.8 mi
Psychiatry
NPI 1073787156
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6415
✔ PECOS✔ Accepts Medicare1.4 mi
Psychiatry
NPI 1487852380
8 E COTTONWOOD ST
Cottonwood, AZ 86326
(928) 634-2236
✔ PECOS✔ Accepts Medicare40 mi

Cardiovascular Disease (Cardiology) (5 of 10)

Cardiovascular Disease (Cardiology)
NPI 1285678748
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Cardiovascular Disease (Cardiology)
NPI 1205823945
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS2.2 mi
Cardiovascular Disease (Cardiology)
NPI 1639242720
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Cardiovascular Disease (Cardiology)
NPI 1295977718
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi
Cardiovascular Disease (Cardiology)
NPI 1164401592
294 W STATE ROUTE 89A SUITE 107
Cottonwood, AZ 86326
(928) 634-1331
✔ PECOS✔ Accepts Medicare39 mi

Hospice/Palliative Care (5 of 6)

Hospice/Palliative Care
NPI 1538599568
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1508128976
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1639308588
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1558941179
1215 N BEAVER ST STE 203
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1740494665
914 N SAN FRANCISCO ST STE M
Flagstaff, AZ 86001
(928) 266-0036
✔ PECOS✔ Accepts Medicare0.2 mi

Registered Dietitian or Nutrition Professional (5 of 6)

Registered Dietitian or Nutrition Professional
NPI 1548609431
1200 N BEAVER ST PAYER CREDENTIALING
Flagstaff, AZ 86001
(928) 773-2054
0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1821228453
1050 N SAN FRANCISCO ST SUITE B
Flagstaff, AZ 86001
(928) 214-3737
✔ Accepts Medicare0.2 mi
Registered Dietitian or Nutrition Professional
NPI 1316606064
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi
Registered Dietitian or Nutrition Professional
NPI 1699320390
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6531
✔ Accepts Medicare39 mi
Registered Dietitian or Nutrition Professional
NPI 1972051084
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6575
✔ Accepts Medicare39 mi

Gastroenterology (4 of 15)

Gastroenterology
NPI 1679789549
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1467417824
77 W FOREST AVE STE 210
Flagstaff, AZ 86001
(928) 773-2547
✔ PECOS0.2 mi
Gastroenterology
NPI 1144883638
1895 N JASPER DR STE 1
Flagstaff, AZ 86001
(928) 773-2332
✔ PECOS✔ Accepts Medicare0.8 mi
Gastroenterology
NPI 1528050135
401 S CALVARY WAY STE. D
Cottonwood, AZ 86326
(928) 203-9600
✔ PECOS✔ Accepts Medicare39 mi

General Surgery (4 of 14)

General Surgery
NPI 1497724017
77 W FOREST AVE STE 201
Flagstaff, AZ 86001
(928) 773-2222
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1942737978
77 W FOREST AVE STE 201
Flagstaff, AZ 86001
(928) 773-2222
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1265692982
77 W FOREST AVE STE 201
Flagstaff, AZ 86001
(928) 773-2222
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1760801823
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-7969
✔ PECOS✔ Accepts Medicare39 mi

Infectious Disease (4)

Infectious Disease
NPI 1891008884
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-3832
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1356370571
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1255934014
1215 N BEAVER ST STE 203
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1952332470
269 S CANDY LN
Cottonwood, AZ 86326
(928) 649-7927
✔ PECOS✔ Accepts Medicare39 mi

Neurology (4 of 13)

Neurology
NPI 1689923096
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1699727784
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1710397336
1215 N BEAVER ST STE 203
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1790058915
340 S WILLARD ST
Cottonwood, AZ 86326
(928) 649-7991
✔ PECOS✔ Accepts Medicare39 mi

Obstetrics/Gynecology (4 of 17)

Obstetrics/Gynecology
NPI 1689641656
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1114108347
1100 NORTH SAN FRANCISCO ST. #B
Flagstaff, AZ 86001
(928) 779-7854
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1437143716
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 213-6385
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1427025964
340 S WILLARD ST STE 101
Cottonwood, AZ 86326
(928) 639-2015
✔ PECOS✔ Accepts Medicare39 mi

Occupational Therapist in Private Practice (4 of 5)

Occupational Therapist in Private Practice
NPI 1154472322
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2054
Same address
Occupational Therapist in Private Practice
NPI 1457538225
125 E ELM AVE STE 103
Flagstaff, AZ 86001
(928) 779-1679
0.5 mi
Occupational Therapist in Private Practice
NPI 1881318186
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi
Occupational Therapist in Private Practice
NPI 1083399893
5130 N US HIGHWAY 89
Flagstaff, AZ 86004
(928) 773-2054
4.0 mi

Clinical Psychologist (3)

Clinical Psychologist
NPI 1346853454
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6415
✔ PECOSSame address
Clinical Psychologist
NPI 1083641237
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1164974721
1298 W FINNIE FLAT RD
Camp Verde, AZ 86322
(928) 639-5555
✔ PECOS✔ Accepts Medicare46 mi

Emergency Medicine (3 of 11)

Emergency Medicine
NPI 1053480095
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 380-0476
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1598108110
3700 W STATE ROUTE 89A
Sedona, AZ 86336
(928) 204-4100
✔ PECOS✔ Accepts Medicare26 mi
Emergency Medicine
NPI 1356345383
3700 W STATE ROUTE 89A
Sedona, AZ 86336
(928) 204-4100
✔ PECOS✔ Accepts Medicare26 mi

Hematology/Oncology (3 of 4)

Hematology/Oncology
NPI 1720233018
1325 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2271
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1861425829
77 W FOREST AVE STE 301
Flagstaff, AZ 86001
(928) 635-7307
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1720027337
7223 PENNY LN
Flagstaff, AZ 86001
(928) 699-2359
✔ PECOS✔ Accepts Medicare6.7 mi

Cardiac Electrophysiology (2 of 10)

Cardiac Electrophysiology
NPI 1083674576
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1790836252
269 S CANDY LN
Cottonwood, AZ 86326
(928) 634-1331
✔ PECOS✔ Accepts Medicare39 mi

Clinical Social Worker (2 of 3)

Clinical Social Worker
NPI 1316541014
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2261
✔ PECOSSame address
Clinical Social Worker
NPI 1669709366
1895 N JASPER DR STE 3
Flagstaff, AZ 86001
(928) 913-8800
✔ PECOS0.8 mi

Endocrinology (2)

Endocrinology
NPI 1679709273
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-2920
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1255528600
340 S WILLARD ST
Cottonwood, AZ 86326
(928) 649-7889
✔ PECOS✔ Accepts Medicare39 mi

Mental Health Counselor (2 of 3)

Mental Health Counselor
NPI 1992997258
1200 N BEAVER STREET
Flagstaff, AZ 86001
(928) 213-6300
✔ PECOSSame address
Mental Health Counselor
NPI 1619164571
340 S WILLARD ST STE 201
Cottonwood, AZ 86326
(928) 925-9087
✔ PECOS✔ Accepts Medicare39 mi

Neurosurgery (2 of 6)

Neurosurgery
NPI 1669447488
823 N SAN FRANCISCO ST SUITE F
Flagstaff, AZ 86001
(928) 226-7667
✔ PECOS✔ Accepts Medicare0.2 mi
Neurosurgery
NPI 1346270832
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.2 mi

Otolaryngology (2 of 5)

Otolaryngology
NPI 1104137710
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 779-3366
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1689673972
1340 N RIM DR
Flagstaff, AZ 86001
(928) 774-1873
✔ PECOS✔ Accepts Medicare0.2 mi

Plastic and Reconstructive Surgery (2 of 4)

Plastic and Reconstructive Surgery
NPI 1134325012
1020 N SAN FRANCISCO ST STE 200
Flagstaff, AZ 86001
(928) 774-2300
✔ PECOS✔ Accepts Medicare0.2 mi
Plastic and Reconstructive Surgery
NPI 1861495137
1020 N SAN FRANCISCO ST # 200
Flagstaff, AZ 86001
(928) 774-2300
✔ PECOS✔ Accepts Medicare0.2 mi

Qualified Audiologist (2)

Qualified Audiologist
NPI 1467744144
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2054
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1366333478
5130 U S 89
Flagstaff, AZ 86004
(928) 773-2054
19 mi

Certified Nurse Midwife (CNM) (1 of 2)

Certified Nurse Midwife (CNM)
NPI 1073352795
269 S CANDY LN
Cottonwood, AZ 86326
(928) 639-6521
✔ PECOS✔ Accepts Medicare39 mi

Interventional Cardiology (1 of 8)

Interventional Cardiology
NPI 1326265893
2000 S THOMPSON ST
Flagstaff, AZ 86001
(928) 226-6400
✔ PECOS✔ Accepts Medicare2.2 mi

Physical Medicine and Rehabilitation (1)

Physical Medicine and Rehabilitation
NPI 1508150988
107 E OAK AVE
Flagstaff, AZ 86001
(928) 779-7880
✔ PECOS✔ Accepts Medicare0.3 mi

Pulmonary Disease (1 of 3)

Pulmonary Disease
NPI 1609950500
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts MedicareSame address

Radiation Oncology (1 of 4)

Radiation Oncology
NPI 1346668225
1329 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2261
✔ PECOS✔ Accepts Medicare0.1 mi

Sports Medicine (1)

Sports Medicine
NPI 1134495054
824 S SAN FRANCISCO ST
Flagstaff, AZ 86011
(928) 523-2131
✔ PECOS✔ Accepts Medicare1.4 mi

Thoracic Surgery (1)

Thoracic Surgery
NPI 1568459717
294 W STATE ROUTE 89A SUITE 107
Cottonwood, AZ 86326
(928) 634-1331
✔ PECOS✔ Accepts Medicare39 mi

Urology (1 of 19)

Urology
NPI 1023074184
340 S WILLARD ST STE 101
Cottonwood, AZ 86326
(928) 649-7970
✔ PECOS✔ Accepts Medicare39 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Northern Arizona Healthcare Corporation appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

Nearest 250. The totals and specialty counts cover all 552 clinicians. The list shows the 250 whose practice address is closest to this NPI's location, so each Northern Arizona Healthcare Corporation location shows its own nearest clinicians.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.