VITIELLO PRIMARY CARE PLLC
NPI 1780325944
Nurse Practitioner - Family in Maricopa, AZ
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 holds a CLIA Waiver certificate valid through April 20, 2028 and lists Joann Vitiello, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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
2Medicare 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)
Maricopa, AZ 85139
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2258467
Vitiello Primary Care, PLLC · Maricopa, AZFrequently 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.
Does Vitiello Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2258467) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vitiello Primary Care PLLC accept?
Health plans from Ambetter from Arizona Complete Health list Vitiello Primary Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Vitiello Primary Care Pllc · NPI 1780325944
Family organization in Maricopa, Arizona. Organization record, active in the CMS NPPES registry since April 3, 2022.
## Identity
- **NPI:** 1780325944 (Entity type: Organization)
- **Enumerated:** April 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Joann Vitiello, OWNER
## Practice location
- **Address:** 21300 N JOHN WAYNE PKWY STE 108, Maricopa, AZ 85139-8964
- **Phone:** (480) 389-9419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2022
- **Other identifiers:** Medicaid 808402 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780325944) · Data from the CMS NPPES public registry.