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MOAPA HEALTH CLINIC
NPI 1841535317
Clinic/Center in Moapa, NV

Active since December 10, 2012CLIA 29D2055203 · Waiver
10 LINCOLN ST, MOAPA, NV 89025(775) 784-5327 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moapa Health Clinic NPPES

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

MOAPA HEALTH CLINIC (NPI 1841535317) is a healthcare organization registered as a clinic/center in Moapa, Nevada and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Sky Rainbow Black Elk-volkmann, Supervisor, Patient Business Office, as its authorized official.

NPPES Registry Identity

NPI1841535317
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIRENE BENN MEDICAL CENTER
Location Address10 LINCOLN STMoapa, NV 89025-0819
Mailing AddressPo Box 819Moapa, NV 89025-0819 · (775) 784-5327
Phone(775) 784-5327
Organization SubpartYesParent: Dhhs Ihs Phoenix Area
Authorized OfficialSky Rainbow Black Elk-volkmannSupervisor, Patient Business Office · (605) 384-4844
Enumeration DateDecember 10, 2012
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1841535317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10 LINCOLN ST, Moapa, NV 89025
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Other Names 1

Other NameMoapa Health Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moapa Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

143

Medicare enrollment records show 143 clinicians reassign Medicare billing to Moapa Health Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Diagnostic Radiology49
Emergency Medicine29
Family Practice18
Nurse Practitioner15
Internal Medicine5
Dentist4
Optometry3
Podiatry3
13 other specialties17

Nearest to this location (20)

See all 143
Stella Lau, O.D.
Optometry
NPI 1275575722
4116 W CRAIG RD STE 104
North Las Vegas, NV 89032
(702) 631-2015
✔ PECOS42 mi
Jason Waite, DPM
Podiatry
NPI 1073950440
1257 PAIUTE CIR
Las Vegas, NV 89106
(516) 506-8839
✔ PECOS✔ Accepts Medicare43 mi
Deborah Cornell, M.D.
Family Practice
NPI 1801824586
3425 CLIFF SHADOWS PKWY STE 250
Las Vegas, NV 89129
(702) 382-1599
✔ PECOS✔ Accepts Medicare49 mi
Soy Ramsumeer, FNP,DNP,MSN,RN,DM ED
Nurse Practitioner
NPI 1073929162
2007 PEGASUS RANCH RD
Bullhead City, AZ 86429
(509) 430-9813
✔ PECOS✔ Accepts Medicare104 mi
Roger Cox, MD, EDD
Orthopedic Surgery
NPI 1104038488
3650 S POINTE CIR STE 200
Laughlin, NV 89029
(702) 791-9024
✔ PECOS106 mi
Craig Levy, MD
Family Practice
NPI 1528150455
309 LAKE HAVASU AVE S
Lake Havasu City, AZ 86403
(928) 453-1970
✔ PECOS✔ Accepts Medicare153 mi
Emily Veltus, MD
Emergency Medicine
NPI 1427687391
12033 W AGENCY AVE
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare175 mi
Diane Adams, DO
Internal Medicine
NPI 1073520474
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare175 mi
Ezzaddin Al Wahsh, M.D.
Hospitalist
NPI 1033525456
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare175 mi
John Boykin, DDS
Dentist
NPI 1316538812
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS175 mi
Jesse Hogan, OD
Optometry
NPI 1134641343
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare175 mi
David Lau, DPM
Podiatry
NPI 1144303611
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare175 mi
Dena Wilson, M.D.
Cardiovascular Disease (Cardiology)
NPI 1871703165
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS175 mi
Therese Mcmahan, CNM
Certified Nurse Midwife (CNM)
NPI 1760468078
2920 N 4TH ST
Flagstaff, AZ 86004
(928) 522-9400
✔ PECOS✔ Accepts Medicare198 mi
Christian Dewald, MD
Diagnostic Radiology
NPI 1336138387
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
(623) 847-2000
✔ PECOS✔ Accepts Medicare254 mi
Juan Herrera
Clinical Social Worker
NPI 1275052490
11927 ELLIOTT AVE
El Monte, CA 91732
(626) 350-5304
✔ PECOS262 mi
Rachel Golin, MD
Pediatric Medicine
NPI 1184913840
4212 N 16TH ST
Phoenix, AZ 85016
(602) 263-1200
✔ PECOS264 mi
Soo Han, MD
General Surgery
NPI 1457779811
4212 N 16TH ST
Phoenix, AZ 85016
(602) 263-1200
✔ PECOS✔ Accepts Medicare264 mi
Glen Kishi, MD
Obstetrics/Gynecology
NPI 1174561765
4212 N 16TH ST
Phoenix, AZ 85016
(602) 263-1200
✔ PECOS✔ Accepts Medicare264 mi
Jennifer Himmelstein, AU.D.
Qualified Audiologist
NPI 1669888525
4212 N 16TH ST
Phoenix, AZ 85016
(602) 263-1200
✔ Accepts Medicare264 mi
See all 143 clinicians

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

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 29D2055203

Irene Benn Medical Center · Moapa, NV
Active · expires Mar 5, 2027
CLIA Number29D2055203
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDaniel W. Miller
Laboratory Phone(928) 669-3224
Laboratory LocationIrene Benn Medical Center10 Lincoln St, Moapa, NV 89025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
35%31 patients2/55-star benchmark: 93%
Cervical Cancer Screening
14%69 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%63 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
21%84 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
17%96 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
50%74 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%74 patients4/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
97%35 patients4/55-star benchmark: 100%
HIV Screening
54%124 patients4/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%139 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
93%120 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%316 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 148 patients
0%148 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%65 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 32 patients
Patients totalRate: 22% · 32 patients
22%32 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Irene Benn Medical Center's NPI number?

The NPI number for Irene Benn Medical Center is 1841535317. It was assigned to this organization in the NPPES registry on December 10, 2012. The provider is also known as Moapa Health Clinic.

Where is Irene Benn Medical Center located?

Irene Benn Medical Center is located at 10 Lincoln St, Moapa, NV 89025. The listed phone number is (775) 784-5327.

What is Irene Benn Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Irene Benn Medical Center enrolled in Medicare?

Yes. Irene Benn Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Irene Benn Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 143 clinicians in 21 Medicare specialties reassign their Medicare billing to Irene Benn Medical Center. 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 Diagnostic Radiology (49), Emergency Medicine (29) and Family Practice (18). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Irene Benn Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2055203) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irene Benn Medical Center was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.