DESERT SPINE INSTITUTE PLLC
NPI 1841505302
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Yuma, AZ

Active since August 09, 2010
2851 S AVENUE B, SUITE 2401, YUMA, AZ 85364(928) 247-9714(928) 247-9718 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desert Spine Institute Pllc NPPES

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

DESERT SPINE INSTITUTE PLLC (NPI 1841505302) is a healthcare organization registered as an orthopaedic surgery of the spine in Yuma, Arizona and active in the NPI registry since August 2010. The organization lists Shawn F Hermenau, President, as its authorized official.

NPPES Registry Identity

NPI1841505302
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameDESERT SPINE INSTITUTE PLLC
Location Address2851 S AVENUE B, SUITE 2401Yuma, AZ 85364-7726
Mailing Address2851 S Avenue B Ste 2401Yuma, AZ 85364-7759 · (928) 247-9714 · Fax (928) 247-9718
Fax(928) 247-9718
Organization SubpartNo
Authorized OfficialShawn F HermenauPresident · (928) 247-9714
Enumeration DateAugust 9, 2010
Last NPPES UpdateNovember 5, 2014
✔ NPI 1841505302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
2851 S AVENUE B, Yuma, AZ 85364

Other Identifiers 3

Medicare NSC6460830001AZ
Medicaid541871AZ
Medicare PINZ140238

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Desert Spine Institute Pllc 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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20101203000611DME · Physician - Orthopedic/Orthopedic SurgeryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Desert Spine Institute PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1427115625
2851 S AVENUE B SUITE 2401
Yuma, AZ 85364
(928) 247-9714
✔ PECOS✔ Accepts MedicareSame address

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 Desert Spine Institute PLLC's NPI number?

The NPI number for Desert Spine Institute PLLC is 1841505302. It was assigned to this organization in the NPPES registry on August 9, 2010.

Where is Desert Spine Institute PLLC located?

Desert Spine Institute PLLC is located at 2851 S Avenue B Suite 2401, Yuma, AZ 85364. The listed phone number is (928) 247-9714.

What is Desert Spine Institute PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Desert Spine Institute PLLC enrolled in Medicare?

Yes. Desert Spine Institute PLLC is registered in the Medicare PECOS enrollment system.

When is Desert Spine Institute PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arizona, Physician - Orthopedic/Orthopedic Surgery) 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 Desert Spine Institute PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Desert Spine Institute 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Desert Spine Institute PLLC was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.