BLUE HILLS MEDICAL LLC
NPI 1821847989
Nurse Practitioner - Family in Prescott Valley, AZ
About Blue Hills Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE HILLS MEDICAL LLC (NPI 1821847989) is a healthcare organization registered as a family in Prescott Valley, Arizona and active in the NPI registry since May 2024. The organization lists Holly Engelman, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Hills Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Hills Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Blue Hills Medical LLC's NPI number?
The NPI number for Blue Hills Medical LLC is 1821847989. It was assigned to this organization in the NPPES registry on May 13, 2024.
Where is Blue Hills Medical LLC located?
Blue Hills Medical LLC is located at 8363 E Florentine Rd Ste B, Prescott Valley, AZ 86314. The listed phone number is (928) 800-1228.
What is Blue Hills Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Blue Hills Medical LLC enrolled in Medicare?
Yes. Blue Hills Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Hills Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Blue Hills Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Hills Medical LLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Blue Hills Medical Llc · NPI 1821847989
Family organization in Prescott Valley, Arizona. Organization record, active in the CMS NPPES registry since May 13, 2024.
## Identity
- **NPI:** 1821847989 (Entity type: Organization)
- **Enumerated:** May 13, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Holly Engelman, NURSE PRACTITIONER
## Practice location
- **Address:** 8363 E FLORENTINE RD STE B, Prescott Valley, AZ 86314-4972
- **Phone:** (928) 800-1228 · **Fax:** (928) 268-0143
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821847989) · Data from the CMS NPPES public registry.