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NORTHERN ARIZONA MEDICAL GROUP, PLLC
NPI 1770743965
Specialist in Kingman, AZ

Active since June 11, 2008
3555 WESTERN AVE, KINGMAN, AZ 86409(928) 757-8440(928) 757-8448 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northern Arizona Medical Group, Pllc NPPES

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

NORTHERN ARIZONA MEDICAL GROUP, PLLC (NPI 1770743965) is a healthcare organization registered as a specialist in Kingman, Arizona and active in the NPI registry since June 2008. The organization lists Zaffar Iqbal, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1770743965
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHERN ARIZONA MEDICAL GROUP, PLLC
Location Address3555 WESTERN AVEKingman, AZ 86409-3291
Mailing Address3555 Western AveKingman, AZ 86409-3291 · (928) 757-8440 · Fax (928) 757-8448
Phone(928) 757-8440
Fax(928) 757-8448
Organization SubpartNo
Authorized OfficialZaffar IqbalOwner Md · (928) 550-0062
Enumeration DateJune 11, 2008
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1770743965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 32218
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3555 WESTERN AVE, Kingman, AZ 86409
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Arizona Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northern Arizona Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Stacey Meier, FNP-C
Nurse Practitioner
NPI 1548031263
3555 WESTERN AVE
Kingman, AZ 86409
(928) 757-8440
✔ PECOS✔ Accepts MedicareSame address
Misty Petersen, FNP-C
Nurse Practitioner
NPI 1891656328
3555 WESTERN AVE
Kingman, AZ 86409
(928) 757-8440
✔ PECOS✔ Accepts MedicareSame address
Zaffar Iqbal, M.D.
Internal Medicine
NPI 1316137169
3636 STOCKTON HILL RD SUITE 1
Kingman, AZ 86409
(928) 757-8440
✔ PECOS✔ Accepts Medicare0.3 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 Northern Arizona Medical Group, PLLC's NPI number?

The NPI number for Northern Arizona Medical Group, PLLC is 1770743965. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Northern Arizona Medical Group, PLLC located?

Northern Arizona Medical Group, PLLC is located at 3555 Western Ave, Kingman, AZ 86409. The listed phone number is (928) 757-8440.

What is Northern Arizona Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Northern Arizona Medical Group, PLLC enrolled in Medicare?

Yes. Northern Arizona Medical Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Arizona Medical Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northern Arizona Medical Group, PLLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 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 Northern Arizona Medical Group, PLLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.