LEGENDMED PLLC
NPI 1780359653
Nurse Anesthetist, Certified Registered in Goodyear, AZ
About Legendmed Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGENDMED PLLC (NPI 1780359653) is a healthcare organization registered as a nurse anesthetist, certified registered in Goodyear, Arizona and active in the NPI registry since August 2021. The organization lists Kenneth Jordan Whiting, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legendmed Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Legendmed PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Legendmed PLLC's NPI number?
The NPI number for Legendmed PLLC is 1780359653. It was assigned to this organization in the NPPES registry on August 12, 2021.
Where is Legendmed PLLC located?
Legendmed PLLC is located at 140 N Litchfield Rd Ste 110, Goodyear, AZ 85338. The listed phone number is (602) 256-2525.
What is Legendmed PLLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Legendmed PLLC enrolled in Medicare?
Yes. Legendmed PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legendmed PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Legendmed 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Legendmed PLLC was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Legendmed Pllc · NPI 1780359653
Nurse Anesthetist, Certified Registered organization in Goodyear, Arizona. Organization record, active in the CMS NPPES registry since August 12, 2021.
## Identity
- **NPI:** 1780359653 (Entity type: Organization)
- **Enumerated:** August 12, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Whiting, OWNER
## Practice location
- **Address:** 140 N LITCHFIELD RD STE 110, Goodyear, AZ 85338-1226
- **Phone:** (602) 256-2525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1780359653) · Data from the CMS NPPES public registry.