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

Active since April 03, 2022CLIA 03D2258467 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through April 20, 2028 and 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

Accepted Insurance

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, AZ
Active · expires Apr 20, 2028
CLIA Number03D2258467
Laboratory TypePractitioner Other
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorJoann H. Vitiello
Laboratory Phone(480) 389-9419
Laboratory LocationVitiello Primary Care, PLLC21300 N John Wayne Pkwy Ste 108, Maricopa, AZ 85139
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
21300 N JOHN WAYNE PKWY STE 108
MARICOPA, AZ 85139
Dermatology
21300 N JOHN WAYNE PKWY STE 108
MARICOPA, AZ 85139

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.

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.