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FLAGSTAFF INTENSIVE CARE SPECIALISTS, PLLC
NPI 1679018873
Nurse Practitioner - Acute Care in Flagstaff, AZ

Active since December 23, 2016
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 773-0003(928) 773-1170 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2025, Aug 27, 2018, Mar 21, 2017 and 1 more (4 updates tracked since 2016).

About Flagstaff Intensive Care Specialists, Pllc NPPES

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

FLAGSTAFF INTENSIVE CARE SPECIALISTS, PLLC (NPI 1679018873) is a healthcare organization registered as an acute care in Flagstaff, Arizona and active in the NPI registry since December 2016. The organization lists Douglas W Mapel, Member, as its authorized official.

NPPES Registry Identity

NPI1679018873
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameFLAGSTAFF INTENSIVE CARE SPECIALISTS, PLLC
Location Address1200 N BEAVER STFlagstaff, AZ 86001
Mailing AddressPo Box 967Flagstaff, AZ 86002-0967 · (928) 773-0003 · Fax (928) 773-1170
Phone(928) 773-0003
Fax(928) 773-1170
Organization SubpartNo
Authorized OfficialDouglas W MapelMember · (928) 773-0003
Enumeration DateDecember 23, 2016
Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1679018873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
1200 N BEAVER ST, Flagstaff, AZ 86001
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY NIELSEN M.D.
Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
DR. SEAN DANIEL WOODS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2112
ELIZABETH GILMORE CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
TANYA LEE MORGAN TWEED RDN
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2441
THOMAS MATTHEW REEVE MD
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (210) 464-7442
MS. SUSAN POMEROY BASSETT M.S.
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Coconino County (928) 214-3728
DR. ALI I RAJA MD, MSC
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
LEAH MARIE COFFMAN PAUL CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366

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 Flagstaff Intensive Care Specialists, PLLC's NPI number?

The NPI number for Flagstaff Intensive Care Specialists, PLLC is 1679018873. It was assigned to this organization in the NPPES registry on December 23, 2016.

Where is Flagstaff Intensive Care Specialists, PLLC located?

Flagstaff Intensive Care Specialists, PLLC is located at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 773-0003.

What is Flagstaff Intensive Care Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Flagstaff Intensive Care Specialists, PLLC was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.