CBI - ENCOMPASS FREDONIA OUTPATIENT
NPI 1790419000
Clinic/Center - Adult Mental Health in Fredonia, AZ
About Cbi - Encompass Fredonia Outpatient NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CBI - ENCOMPASS FREDONIA OUTPATIENT (NPI 1790419000) is a healthcare organization registered as an adult mental health in Fredonia, Arizona and active in the NPI registry since July 2022. The organization lists John Hogeboom, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Accepted Insurance
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)
Cbi - Encompass Fredonia Outpatient is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
130Medicare enrollment records show 130 clinicians reassign Medicare billing to Cbi - Encompass Fredonia Outpatient, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 130Source: 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 Community Bridges, Inc.'s NPI number?
The NPI number for Community Bridges, Inc. is 1790419000. It was assigned to this organization in the NPPES registry on July 12, 2022. The provider is doing business as Cbi - Encompass Fredonia Outpatient.
Where is Community Bridges, Inc. located?
Community Bridges, Inc. is located at 170 North Main Street, Fredonia, AZ 86022. The listed phone number is (480) 831-7566.
What is Community Bridges, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Community Bridges, Inc. enrolled in Medicare?
Yes. Community Bridges, Inc. is registered in the Medicare PECOS enrollment system.
When is Community Bridges, Inc.'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 November 30, 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 Community Bridges, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 9 Medicare specialties reassign their Medicare billing to Community Bridges, Inc.. 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. The largest specialties are Nurse Practitioner (100), Mental Health Counselor (12) and Clinical Social Worker (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Bridges, Inc. accept?
Health plans from Antidote Health Plan of Arizona, Inc. list Community Bridges, Inc. 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 Community Bridges, Inc. was last updated on September 18, 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.
# Cbi - Encompass Fredonia Outpatient · NPI 1790419000
Adult Mental Health organization in Fredonia, Arizona. Organization record, active in the CMS NPPES registry since July 12, 2022.
## Identity
- **NPI:** 1790419000 (Entity type: Organization)
- **Enumerated:** July 12, 2022
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Legal business name:** Community Bridges, Inc.
- **Organization subpart:** No
- **Authorized official:** John Hogeboom, PRESIDENT/CEO
## Practice location
- **Address:** 170 NORTH MAIN STREET, Fredonia, AZ 86022
- **Phone:** (480) 831-7566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 130 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (100), Mental Health Counselor (12), Clinical Social Worker (8); [full list](https://npiprofile.com/npi/1790419000/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
- **Other identifiers:** Other OTC11792 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1790419000) · Data from the CMS NPPES public registry.