ADVANTAGE PRIMARY HEALTH LLC
NPI 1740138064
Nurse Practitioner - Primary Care in Prescott Valley, AZ
About Advantage Primary Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANTAGE PRIMARY HEALTH LLC (NPI 1740138064) is a healthcare organization registered as a primary care in Prescott Valley, Arizona and active in the NPI registry since March 2026. The organization lists Jeremy Pene, Nurse Practitioner, 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)
Advantage Primary Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advantage Primary Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Advantage Primary Health LLC's NPI number?
The NPI number for Advantage Primary Health LLC is 1740138064. It was assigned to this organization in the NPPES registry on March 20, 2026.
Where is Advantage Primary Health LLC located?
Advantage Primary Health LLC is located at 6546 E 2nd St Ste C, Prescott Valley, AZ 86314. The listed phone number is (928) 899-3461.
What is Advantage Primary Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Advantage Primary Health LLC enrolled in Medicare?
Yes. Advantage Primary Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advantage Primary Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advantage Primary 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advantage Primary Health LLC was last updated on May 2, 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.
# Advantage Primary Health Llc · NPI 1740138064
Primary Care organization in Prescott Valley, Arizona. Organization record, active in the CMS NPPES registry since March 20, 2026.
## Identity
- **NPI:** 1740138064 (Entity type: Organization)
- **Enumerated:** March 20, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Jeremy Pene, NURSE PRACTITIONER
## Practice location
- **Address:** 6546 E 2ND ST STE C, Prescott Valley, AZ 86314-3540
- **Phone:** (928) 899-3461
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1740138064) · Data from the CMS NPPES public registry.