CONVERGENCE HEALTH LLC
NPI 1699576066
General Practice in Lake Havasu City, AZ
About Convergence Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONVERGENCE HEALTH LLC (NPI 1699576066) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since March 2025. The organization lists Courtney Stansbury, Cno/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Convergence Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Convergence Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Lake Havasu City, AZ 86403
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 Convergence Health LLC's NPI number?
The NPI number for Convergence Health LLC is 1699576066. It was assigned to this organization in the NPPES registry on March 21, 2025.
Where is Convergence Health LLC located?
Convergence Health LLC is located at 5601 Highway 95 N Ste 714, Lake Havasu City, AZ 86404. The listed phone number is (928) 538-4325.
What is Convergence Health LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Convergence Health LLC enrolled in Medicare?
Yes. Convergence Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Convergence Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Convergence Health 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 Certified Registered Nurse Anesthetist (CRNA) (3), Orthopedic Surgery (2) and Anesthesiology (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Convergence Health LLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Convergence Health Llc · NPI 1699576066
General Practice organization in Lake Havasu City, Arizona. Organization record, active in the CMS NPPES registry since March 21, 2025.
## Identity
- **NPI:** 1699576066 (Entity type: Organization)
- **Enumerated:** March 21, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Courtney Stansbury, CNO/ADMINISTRATOR
## Practice location
- **Address:** 5601 HIGHWAY 95 N STE 714, Lake Havasu City, AZ 86404-8551
- **Phone:** (928) 538-4325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (3), Orthopedic Surgery (2), Anesthesiology (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699576066) · Data from the CMS NPPES public registry.