PRESCOTT EAR NOSE & THROAT PLLC
NPI 1811198393
Specialist in Prescott, AZ

Active since May 30, 2007
1125 W IRON SPRINGS RD, PRESCOTT, AZ 86305(928) 778-9190(928) 776-4031 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prescott Ear Nose & Throat Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESCOTT EAR NOSE & THROAT PLLC (NPI 1811198393) is a healthcare organization registered as a specialist in Prescott, Arizona and active in the NPI registry since May 2007. The organization lists Mark D Strasser, Corporate Officer, as its authorized official.

NPPES Registry Identity

NPI1811198393
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRESCOTT EAR NOSE & THROAT PLLC
Location Address1125 W IRON SPRINGS RDPrescott, AZ 86305-1623
Mailing Address1125 W Iron Springs RdPrescott, AZ 86305-1623 · (928) 778-9190 · Fax (928) 776-4031
Fax(928) 776-4031
Organization SubpartNo
Authorized OfficialMark D StrasserCorporate Officer · (928) 778-9190
Enumeration DateMay 30, 2007
Last NPPES UpdateJune 1, 2016
✔ NPI 1811198393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1125 W IRON SPRINGS RD, Prescott, AZ 86305

Other Identifiers 4

Medicare UPINH30730AZ
Medicare UPIND00378AZ
Medicare UPIND36559AZ
Medicare ID-Type UnspecifiedZ23902AZ · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Prescott Ear Nose & Throat Pllc 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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040714001453Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Prescott Ear Nose & Throat PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Qualified Audiologist
NPI 1427944081
1125 W IRON SPRINGS RD
Prescott, AZ 86305
(928) 778-9190
✔ Accepts MedicareSame address
Otolaryngology
NPI 1083718266
1125 W IRON SPRINGS RD
Prescott, AZ 86305
(928) 778-9190
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1053466714
1125 W IRON SPRINGS RD
Prescott, AZ 86305
(928) 778-5132
0.2 mi
Otolaryngology
NPI 1811986128
1125 W IRON SPRINGS RD
Prescott, AZ 86305
(928) 778-9190
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1891411203
3601 N DIVISION ST
Davenport, IA 52806
(563) 326-5441
✔ Accepts Medicare1,283 mi

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 Prescott Ear Nose & Throat PLLC's NPI number?

The NPI number for Prescott Ear Nose & Throat PLLC is 1811198393. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Prescott Ear Nose & Throat PLLC located?

Prescott Ear Nose & Throat PLLC is located at 1125 W Iron Springs Rd, Prescott, AZ 86305. The listed phone number is (928) 778-9190.

What is Prescott Ear Nose & Throat PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Prescott Ear Nose & Throat PLLC enrolled in Medicare?

Yes. Prescott Ear Nose & Throat PLLC is registered in the Medicare PECOS enrollment system.

When is Prescott Ear Nose & Throat PLLC'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 Prescott Ear Nose & Throat PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Prescott Ear Nose & Throat 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. The largest specialties are Qualified Audiologist (3) and Otolaryngology (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prescott Ear Nose & Throat PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Prescott Ear Nose & Throat 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 Prescott Ear Nose & Throat PLLC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.