BANNER URGENT CARE ARIZONA LLC
NPI 1831733716
Clinic/Center - Urgent Care in Lakeside, AZ
About Banner Urgent Care Arizona Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER URGENT CARE ARIZONA LLC (NPI 1831733716) is a healthcare organization registered as an urgent care in Lakeside, Arizona and active in the NPI registry since November 2019. The organization maintains a secondary practice location in Show Low and lists Brian Standage, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Banner Urgent Care Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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
170Medicare enrollment records show 170 clinicians reassign Medicare billing to Banner Urgent Care Arizona LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 170Source: 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 Banner Urgent Care Arizona LLC's NPI number?
The NPI number for Banner Urgent Care Arizona LLC is 1831733716. It was assigned to this organization in the NPPES registry on November 4, 2019.
Where is Banner Urgent Care Arizona LLC located?
Banner Urgent Care Arizona LLC is located at 3457 W White Mountain Blvd, Lakeside, AZ 85929. The listed phone number is (928) 358-1515.
What is Banner Urgent Care Arizona LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Banner Urgent Care Arizona LLC enrolled in Medicare?
Yes. Banner Urgent Care Arizona LLC is registered in the Medicare PECOS enrollment system.
When is Banner Urgent Care Arizona 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 December 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 Banner Urgent Care Arizona LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 7 Medicare specialties reassign their Medicare billing to Banner Urgent Care Arizona 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 (145), Family Practice (15) and General Practice (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Banner Urgent Care Arizona LLC accept?
Health plans from Blue Cross Blue Shield of Arizona list Banner Urgent Care Arizona LLC 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 Banner Urgent Care Arizona LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Banner Urgent Care Arizona Llc · NPI 1831733716
Urgent Care organization in Lakeside, Arizona. Organization record, active in the CMS NPPES registry since November 4, 2019.
## Identity
- **NPI:** 1831733716 (Entity type: Organization)
- **Enumerated:** November 4, 2019
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Brian Standage, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 3457 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929-6007
- **Phone:** (928) 358-1515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 170 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (145), Family Practice (15), General Practice (4); [full list](https://npiprofile.com/npi/1831733716/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831733716) · Data from the CMS NPPES public registry.