SENIOR SUPPORT MEDICAL GROUP PLLC
NPI 1760300156
General Practice in Cave Creek, AZ
About Senior Support Medical Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR SUPPORT MEDICAL GROUP PLLC (NPI 1760300156) is a healthcare organization registered as a general practice in Cave Creek, Arizona and active in the NPI registry since July 2026. The organization lists Mark Shen, President, 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)
Senior Support Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Senior Support Medical Group PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Senior Support Medical Group PLLC's NPI number?
The NPI number for Senior Support Medical Group PLLC is 1760300156. It was assigned to this organization in the NPPES registry on July 6, 2026.
Where is Senior Support Medical Group PLLC located?
Senior Support Medical Group PLLC is located at 4705 E Carefree Hwy Ste 131, Cave Creek, AZ 85331. The listed phone number is (714) 698-4908.
What is Senior Support Medical Group PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Senior Support Medical Group PLLC enrolled in Medicare?
Yes. Senior Support Medical Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Support Medical Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Senior Support Medical Group PLLC. 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 Senior Support Medical Group PLLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Senior Support Medical Group Pllc · NPI 1760300156
General Practice organization in Cave Creek, Arizona. Organization record, active in the CMS NPPES registry since July 6, 2026.
## Identity
- **NPI:** 1760300156 (Entity type: Organization)
- **Enumerated:** July 6, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Mark Shen, PRESIDENT
## Practice location
- **Address:** 4705 E CAREFREE HWY STE 131, Cave Creek, AZ 85331-4745
- **Phone:** (714) 698-4908
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760300156) · Data from the CMS NPPES public registry.