NA
NPI 1770732307
Family Medicine in Prescott, AZ

Active since September 18, 2008
2078 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 776-6400(855) 633-3142 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Na NPPES

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

NA (NPI 1770732307) is a healthcare organization registered as a family medicine in Prescott, Arizona and active in the NPI registry since September 2008. The organization lists Josh Baker, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1770732307
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOCTOR'S OFFICE LLC
Location Address2078 WILLOW CREEK RDPrescott, AZ 86301-5389
Mailing Address2078 Willow Creek RdPrescott, AZ 86301-5389 · (928) 776-6400 · Fax (855) 633-3142
Fax(855) 633-3142
Organization SubpartNo
Authorized OfficialJosh BakerPractice Manager · (928) 776-6400
Enumeration DateSeptember 18, 2008
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1770732307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 3779
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2078 WILLOW CREEK RD, Prescott, AZ 86301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20081023000301Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Na, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1073559738
2078 WILLOW CREEK RD
Prescott, AZ 86301
(928) 776-6400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942973656
2078 WILLOW CREEK RD
Prescott, AZ 86301
(928) 776-6400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730380908
2078 WILLOW CREEK RD
Prescott, AZ 86301
(928) 776-6400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972062719
2078 WILLOW CREEK RD
Prescott, AZ 86301
(928) 776-6400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801832563
3051 N WINDSONG DR
Prescott Valley, AZ 86314
(928) 772-2591
✔ PECOS✔ Accepts Medicare9.0 mi

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 Doctor's Office LLC's NPI number?

The NPI number for Doctor's Office LLC is 1770732307. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Doctor's Office LLC located?

Doctor's Office LLC is located at 2078 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 776-6400.

What is Doctor's Office LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Doctor's Office LLC enrolled in Medicare?

Yes. Doctor's Office LLC is registered in the Medicare PECOS enrollment system.

When is Doctor's Office LLC'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 November 30, 2026. 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 Doctor's Office LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Doctor's Office 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 Family Practice (3) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 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 Doctor's Office LLC was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.