AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY
NPI 1891727863
Clinic/Center - Primary Care in Flagstaff, AZ
About Az Bd Of Regents For On Behalf Of Northern Az University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY (NPI 1891727863) is a healthcare organization registered as a primary care in Flagstaff, Arizona and active in the NPI registry since July 2006. The organization lists John D Haeger, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Az Bd Of Regents For On Behalf Of Northern Az University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Az Bd Of Regents For On Behalf Of Northern Az University, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
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 Az Bd Of Regents For On Behalf Of Northern Az University's NPI number?
The NPI number for Az Bd Of Regents For On Behalf Of Northern Az University is 1891727863. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Az Bd Of Regents For On Behalf Of Northern Az University located?
Az Bd Of Regents For On Behalf Of Northern Az University is located at 824 S San Francisco St Bldg 25 Northern Arizona University Campus, Flagstaff, AZ 86011. The listed phone number is (928) 523-6343.
What is Az Bd Of Regents For On Behalf Of Northern Az University's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Az Bd Of Regents For On Behalf Of Northern Az University enrolled in Medicare?
Yes. Az Bd Of Regents For On Behalf Of Northern Az University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Az Bd Of Regents For On Behalf Of Northern Az University?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Az Bd Of Regents For On Behalf Of Northern Az University. 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 Qualified Speech Language Pathologist (11), Occupational Therapist in Private Practice (4) and General Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Az Bd Of Regents For On Behalf Of Northern Az University was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Az Bd Of Regents For On Behalf Of Northern Az University · NPI 1891727863
Primary Care organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1891727863 (Entity type: Organization)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** John Haeger, PRESIDENT
## Practice location
- **Address:** 824 S SAN FRANCISCO ST, BLDG 25 NORTHERN ARIZONA UNIVERSITY CAMPUS, Flagstaff, AZ 86011-0001
- **Phone:** (928) 523-6343 · **Fax:** (928) 523-5730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Speech Language Pathologist (11), Occupational Therapist in Private Practice (4), General Practice (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1891727863) · Data from the CMS NPPES public registry.