PLACITA MOBILE PRIMARY, LLC
NPI 1821808650
Nurse Practitioner in Tucson, AZ
About Placita Mobile Primary, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLACITA MOBILE PRIMARY, LLC (NPI 1821808650) is a healthcare organization registered as a nurse practitioner in Tucson, Arizona and active in the NPI registry since January 2025. The organization holds 2 active CLIA laboratory certificates and lists Keith Condon, Managing Member, 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)
Placita Mobile Primary, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Placita Mobile Primary, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 2
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 03D2337558
Placita Mobile Laboratory, LLC · Tucson, AZCertificate of Waiver 03D2339820
Placita Mobile Primary, LLC · Tucson, 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 Placita Mobile Primary, LLC's NPI number?
The NPI number for Placita Mobile Primary, LLC is 1821808650. It was assigned to this organization in the NPPES registry on January 13, 2025.
Where is Placita Mobile Primary, LLC located?
Placita Mobile Primary, LLC is located at 6303 E Tanque Verde Rd Ste 311, Tucson, AZ 85715. The listed phone number is (520) 904-4274.
What is Placita Mobile Primary, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Placita Mobile Primary, LLC enrolled in Medicare?
Yes. Placita Mobile Primary, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Placita Mobile Primary, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Placita Mobile Primary, 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. The largest specialties are Nurse Practitioner (10) and Internal Medicine (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Placita Mobile Primary, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Placita Mobile Primary, LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Placita Mobile Primary, Llc · NPI 1821808650
Nurse Practitioner organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since January 13, 2025.
## Identity
- **NPI:** 1821808650 (Entity type: Organization)
- **Enumerated:** January 13, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Keith Condon, MANAGING MEMBER
## Practice location
- **Address:** 6303 E TANQUE VERDE RD STE 311, Tucson, AZ 85715-3857
- **Phone:** (520) 904-4274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Internal Medicine (1); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821808650) · Data from the CMS NPPES public registry.