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LUPITA ANN WEATHERWAX APRN-CNP
NPI 1720588486
Nurse Practitioner - Family in Prescott Valley, AZ

Active since February 19, 2018PECOS Enrolled
100/100
CMS Quality Rating
3100 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314(928) 777-7820(928) 777-7821 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2021, Jun 16, 2018, May 1, 2018 and 1 more (4 updates tracked since 2018).

About Lupita Ann Weatherwax Aprn-cnp NPPES

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

LUPITA ANN WEATHERWAX APRN-CNP (NPI 1720588486) is an individual family provider in Prescott Valley, Arizona, licensed in Arizona (248936) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720588486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLUPITA ANN WEATHERWAXCredential: APRN-CNP
Location Address3100 N GLASSFORD HILL RDPrescott Valley, AZ 86314-2285
Mailing Address2790 N Kings Hwy WPrescott Valley, AZ 86314-2808 · (928) 261-3375
Phone(928) 777-7820
Fax(928) 777-7821
Sole ProprietorNo
Enumeration DateFebruary 19, 2018
Last NPPES UpdateMay 21, 20214 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1720588486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 248936
3100 N GLASSFORD HILL RD, Prescott Valley, AZ 86314
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14845 S Sheridan Rd Ste 509Tulsa, OK 74145-5719 · Phone (918) 660-0031 · Fax (918) 660-0056
Location 23100 N Glassford Hill RdPrescott Valley, AZ 86314-2285 · Phone (928) 777-7820 · Fax (928) 777-7821

Other Identifiers 1

Medicaid083250AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lupita Ann Weatherwax Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

SMITHS FOOD & DRUG CENTERS INC
Pharmacy (Community/Retail Pharmacy)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 445-0607
DEREK CLARK PHARMD
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 445-0607
DEBORAH REQUA DAVIS ARNP
Nurse Practitioner (Family)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 777-7820
AMY S KILLE PHARM.D.
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 445-0607
MR. BRUCE MICHAEL WORRALL
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 445-0607
KAEDEN LITCHFIELD
Nurse Practitioner (Family)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 777-7820
JORDAN RIFFER
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 445-3010
MS. LINDA BETH ROBERTS PA-C
Physician Assistant (Medical)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 772-3336

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 Lupita Weatherwax's NPI number?

The NPI number for Lupita Weatherwax is 1720588486. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Where is Lupita Weatherwax located?

Lupita Weatherwax practices at 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 777-7820.

What is Lupita Weatherwax's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lupita Weatherwax enrolled in Medicare?

Yes. Lupita Weatherwax is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lupita Weatherwax was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.