MESQUITE VALLEY INTEGRATED HEALTH
NPI 1790384014
Nurse Practitioner - Community Health in Mesa, AZ
About Mesquite Valley Integrated Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MESQUITE VALLEY INTEGRATED HEALTH (NPI 1790384014) is a healthcare organization registered as a community health in Mesa, Arizona and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 7, 2027, maintains a secondary practice location in Mesa, and lists Troy Fulton, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mesquite Valley Integrated Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Mesquite Valley Integrated Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 03D2212821
Fulton And Fulton, LLC · Mesa, 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 Fulton & Fulton LLC's NPI number?
The NPI number for Fulton & Fulton LLC is 1790384014. It was assigned to this organization in the NPPES registry on October 19, 2020. The provider is doing business as Mesquite Valley Integrated Health.
Where is Fulton & Fulton LLC located?
Fulton & Fulton LLC is located at 560 W Brown Rd Ste 1011, Mesa, AZ 85201. The listed phone number is (480) 509-7738.
What is Fulton & Fulton LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.
Is Fulton & Fulton LLC enrolled in Medicare?
Yes. Fulton & Fulton LLC is registered in the Medicare PECOS enrollment system.
When is Fulton & Fulton LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fulton & Fulton LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fulton & Fulton LLC. 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, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fulton & Fulton LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2212821) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fulton & Fulton LLC was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mesquite Valley Integrated Health · NPI 1790384014
Community Health organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since October 19, 2020.
## Identity
- **NPI:** 1790384014 (Entity type: Organization)
- **Enumerated:** October 19, 2020
- **Primary specialty:** Nurse Practitioner - Community Health · taxonomy 363LC1500X
- **Legal business name:** Fulton & Fulton Llc
- **Organization subpart:** No
- **Authorized official:** Troy Fulton, OWNER
## Practice location
- **Address:** 560 W BROWN RD STE 1011, Mesa, AZ 85201-3222
- **Phone:** (480) 509-7738 · **Fax:** (480) 856-9069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1790384014) · Data from the CMS NPPES public registry.