KINGMAN HEALTHCARE, INC
NPI 1689897787
Specialist in Kingman, AZ

Active since April 10, 2007
1739 E BEVERLY AVE, KINGMAN, AZ 86409(928) 263-4547(928) 263-4794 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2026, Dec 23, 2024, Dec 12, 2024 and 2 more (5 updates tracked since 2018).

About Kingman Healthcare, Inc NPPES

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

KINGMAN HEALTHCARE, INC (NPI 1689897787), doing business as Kingman Hospital, Inc, is a healthcare organization registered as a specialist in Kingman, Arizona and active in the NPI registry since April 2007. The organization maintains 4 additional practice locations and lists Joshua Hoffman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689897787
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKINGMAN HEALTHCARE, INC
Location Address1739 E BEVERLY AVEKingman, AZ 86409-3593
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 263-4722 · Fax (928) 263-4794
Fax(928) 263-4794
Organization SubpartYes
Authorized OfficialJoshua HoffmanCfo · (928) 263-3087
Enumeration DateApril 10, 2007
Last NPPES UpdateApril 24, 20265 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1689897787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1739 E BEVERLY AVE, Kingman, AZ 86409

Other Names 1

Former Legal Business NameKingman Hospital, Inc

Secondary Practice Locations 4

Location 12226 Hualapai Mountain Rd Ste 101Kingman, AZ 86401-8374 · Phone (928) 681-8742
Location 24995 US Highway 68 Ste 1Golden Valley, AZ 86413-5500 · Phone (928) 681-8500 · Fax (928) 565-4140
Location 32202 N Stockton Hill Rd Ste 101Kingman, AZ 86401-4622 · Phone (928) 681-8706
Location 43801 Santa Rosa DrKingman, AZ 86401-2311 · Phone (928) 681-8701 · Fax (928) 681-8702

Other Identifiers 1

Medicaid399256AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingman Healthcare, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040216001173Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

417

Medicare enrollment records show 417 clinicians reassign Medicare billing to Kingman Healthcare, Inc, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 99 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Anesthesiology72
Nurse Practitioner55
Diagnostic Radiology48
Internal Medicine34
Obstetrics/Gynecology28
Family Practice27
General Surgery18
Orthopedic Surgery17
30 other specialties118

Nearest to this location (20)

See all 417
Obstetrics/Gynecology
NPI 1073510491
1739 E BEVERLY AVE SUITE 201
Kingman, AZ 86401
(928) 692-3456
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205826880
1739 BEVERLY AVENUE SUITE 201
Kingman, AZ 86409
(928) 692-3456
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1780680686
1739 E BEVERLY AVE STE 201
Kingman, AZ 86401
(928) 692-3456
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1538166046
1739 E BEVERLY AVE SUITE 201
Kingman, AZ 86401
(928) 692-3456
✔ PECOSSame address
Family Practice
NPI 1063492676
1739 E BEVERLY AVE SUITE 201
Kingman, AZ 86409
(928) 692-3456
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1629043740
1739 E BEVERLY AVE STE 102
Kingman, AZ 86409
(928) 681-8693
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871182246
1739 E BEVERLY AVE STE 200
Kingman, AZ 86409
(928) 681-8705
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1083618615
1739 E BEVERLY AVE STE 102
Kingman, AZ 86409
(928) 681-8693
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063988178
1739 E BEVERLY AVE STE 203
Kingman, AZ 86409
(928) 757-3133
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1003251463
1739 E BEVERLY AVE STE 101
Kingman, AZ 86409
(928) 681-8715
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083078349
1739 E BEVERLY AVE SUITE 203
Kingman, AZ 86409
(928) 757-3133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184468506
1739 E BEVERLY AVE STE 217
Kingman, AZ 86409
(928) 681-8724
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1417299199
1739 E BEVERLY AVE STE 200
Kingman, AZ 86409
(702) 671-2385
✔ PECOSSame address
Pulmonary Disease
NPI 1225142557
1739 E BEVERLY AVE SUITE 203
Kingman, AZ 86409
(928) 757-3133
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1982698528
1739 E BEVERLY AVE STE 203
Kingman, AZ 86409
(928) 757-3133
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1457329955
1739 E BEVERLY AVE STE 102
Kingman, AZ 86409
(928) 681-8693
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1588685663
1739 E BEVERLY AVE STE 217
Kingman, AZ 86409
(928) 718-1511
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306819883
1739 E BEVERLY AVE SUITE 201
Kingman, AZ 86409
(928) 692-3456
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215315718
1739 E BEVERLY AVE
Kingman, AZ 86409
(928) 757-3133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346790573
1726 E BEVERLY AVE
Kingman, AZ 86409
(928) 753-3303
✔ PECOSSame address
See all 417 clinicians

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 Kingman Healthcare, Inc's NPI number?

The NPI number for Kingman Healthcare, Inc is 1689897787. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider was formerly known as Kingman Hospital, Inc.

Where is Kingman Healthcare, Inc located?

Kingman Healthcare, Inc is located at 1739 E Beverly Ave, Kingman, AZ 86409. The listed phone number is (928) 263-4547.

What is Kingman Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kingman Healthcare, Inc enrolled in Medicare?

Yes. Kingman Healthcare, Inc is registered in the Medicare PECOS enrollment system.

When is Kingman Healthcare, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kingman Healthcare, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 417 clinicians in 38 Medicare specialties reassign their Medicare billing to Kingman Healthcare, Inc. 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 Anesthesiology (72), Nurse Practitioner (55) and Diagnostic Radiology (48). Of these, 19 practice at this address and 99 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kingman Healthcare, Inc accept?

Health plans from Blue Cross Blue Shield of Arizona list Kingman Healthcare, Inc 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 Kingman Healthcare, Inc was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.