VITIELLO PRIMARY CARE PLLC
NPI 1780325944
Nurse Practitioner - Family in Maricopa, AZ

Active since April 03, 2022
21300 N JOHN WAYNE PKWY STE 108, MARICOPA, AZ 85139(480) 389-9419 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vitiello Primary Care Pllc NPPES

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

VITIELLO PRIMARY CARE PLLC (NPI 1780325944) is a healthcare organization registered as a family in Maricopa, Arizona and active in the NPI registry since April 2022. The organization lists Joann Vitiello, Owner, as its authorized official.

NPPES Registry Identity

NPI1780325944
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITIELLO PRIMARY CARE PLLC
Location Address21300 N JOHN WAYNE PKWY STE 108Maricopa, AZ 85139-8964
Mailing Address44559 W Sedona TrlMaricopa, AZ 85139-8895 · (480) 389-9419
Organization SubpartNo
Authorized OfficialJoann VitielloOwner · (520) 568-5943
Enumeration DateApril 3, 2022
Last NPPES UpdateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1780325944 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
21300 N JOHN WAYNE PKWY STE 108, Maricopa, AZ 85139

Other Identifiers 1

Medicaid808402AZ

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)

Vitiello Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vitiello Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1861734139
21300 W JOHN WAYNE PARKWAY SUITE 108
Maricopa, AZ 85139
(520) 568-5949
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881163046
2070 W RUDASILL RD STE 130
Tucson, AZ 85704
(520) 420-2520
✔ PECOS✔ Accepts Medicare80 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 Vitiello Primary Care PLLC's NPI number?

The NPI number for Vitiello Primary Care PLLC is 1780325944. It was assigned to this organization in the NPPES registry on April 3, 2022.

Where is Vitiello Primary Care PLLC located?

Vitiello Primary Care PLLC is located at 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ 85139. The listed phone number is (480) 389-9419.

What is Vitiello Primary Care PLLC's specialty?

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

Is Vitiello Primary Care PLLC enrolled in Medicare?

Yes. Vitiello Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitiello Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vitiello Primary Care 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitiello Primary Care PLLC was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.