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PREMIER MOUNTAIN HEALTHCARE LLC
NPI 1881261857
Family Medicine - Adult Medicine in Show Low, AZ

Active since June 08, 2021
5300 S SUTTER DR UNIT A, SHOW LOW, AZ 85901(928) 251-4244(833) 539-1739 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2026, Jun 25, 2025, Oct 20, 2021 and 2 more (5 updates tracked since 2021).

About Premier Mountain Healthcare Llc NPPES

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

PREMIER MOUNTAIN HEALTHCARE LLC (NPI 1881261857) is a healthcare organization registered as an adult medicine in Show Low, Arizona and active in the NPI registry since June 2021. The organization lists Anupam Ahlawat, Practice Administraitor, as its authorized official.

NPPES Registry Identity

NPI1881261857
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePREMIER MOUNTAIN HEALTHCARE LLC
Location Address5300 S SUTTER DR UNIT AShow Low, AZ 85901-8374
Mailing Address5300 S Sutter Dr Unit AShow Low, AZ 85901-8374 · (928) 251-4244 · Fax (833) 539-1739
Phone(928) 251-4244
Fax(833) 539-1739
Organization SubpartNo
Authorized OfficialAnupam AhlawatPractice Administraitor · (480) 294-4494
Enumeration DateJune 8, 2021
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1881261857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5300 S SUTTER DR UNIT A, Show Low, AZ 85901
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Mountain Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Premier Mountain Healthcare LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Family Practice3
Internal Medicine1

Clinicians, nearest first (11)

Leon Driss, MD
Internal Medicine
NPI 1669445706
5300 S SUTTER DR STE 12
Show Low, AZ 85901
(928) 251-2541
✔ PECOS✔ Accepts MedicareSame address
Lyndsay Funk, NP
Nurse Practitioner
NPI 1124784657
5300 S SUTTER DR BLDG A
Show Low, AZ 85901
(928) 362-5258
✔ PECOS✔ Accepts MedicareSame address
Jay Kempton
Nurse Practitioner
NPI 1972187466
5300 S SUTTER DR STE A
Show Low, AZ 85901
(928) 251-4244
✔ PECOS✔ Accepts MedicareSame address
Michele Mccormick, NP-C
Nurse Practitioner
NPI 1588199160
5300 S SUTTER DR STE 12
Show Low, AZ 85901
(928) 251-2541
✔ PECOS✔ Accepts MedicareSame address
Mary Jane Sorenson, FNP-C
Nurse Practitioner
NPI 1851870919
5300 S SUTTER DR STE A
Show Low, AZ 85901
(928) 251-4244
✔ PECOS✔ Accepts MedicareSame address
Matthew Belshe
Family Practice
NPI 1821435579
4951 S WHITE MOUNTAIN RD BLDG A
Show Low, AZ 85901
(928) 537-6700
✔ PECOS✔ Accepts Medicare0.3 mi
Gina Silveira, NP
Nurse Practitioner
NPI 1407302300
2650 E SHOW LOW LAKE RD STE 1
Show Low, AZ 85901
(928) 537-4300
✔ PECOS✔ Accepts Medicare0.5 mi
Elizabeth Bierer, MD
Family Practice
NPI 1821329129
5300 S SUTTER DR STE A
Show Low, AZ 85901
(928) 251-4244
✔ PECOS✔ Accepts Medicare9.6 mi
Kimberly Hansen, FNP
Nurse Practitioner
NPI 1952074072
5300 S SUTTER DR STE A
Show Low, AZ 85901
(928) 251-4244
✔ PECOS✔ Accepts Medicare9.6 mi
Kimberly Novak, FNP
Nurse Practitioner
NPI 1184346793
5300 S SUTTER DR STE A
Show Low, AZ 85901
(928) 251-4244
✔ PECOS✔ Accepts Medicare9.6 mi
Bryan Smithson, MD
Family Practice
NPI 1336377464
5300 S SUTTER DR STE A
Show Low, AZ 85901
(928) 251-4244
✔ PECOS✔ Accepts Medicare9.6 mi

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 Premier Mountain Healthcare LLC's NPI number?

The NPI number for Premier Mountain Healthcare LLC is 1881261857. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is Premier Mountain Healthcare LLC located?

Premier Mountain Healthcare LLC is located at 5300 S Sutter Dr Unit A, Show Low, AZ 85901. The listed phone number is (928) 251-4244.

What is Premier Mountain Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Premier Mountain Healthcare LLC enrolled in Medicare?

Yes. Premier Mountain Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Mountain Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Mountain Healthcare 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 (7), Family Practice (3) and Internal Medicine (1). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Mountain Healthcare LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Premier Mountain Healthcare 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 Premier Mountain Healthcare LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.