GARY N CLINE PMHNP
NPI 1912879263
Nurse Practitioner - Psychiatric/Mental Health in Prescott, AZ

Q: What is Gary Cline's NPI number?

The NPI number for Gary Cline is 1912879263. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Q: What is Gary Cline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Gary Cline was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 18, 2025PECOS Enrolled

2120 CENTERPOINTE WEST DR, PRESCOTT, AZ 86301(928) 778-4581(928) 776-1872 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2025, Sep 18, 2025 (2 updates tracked since 2025).

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About Gary N Cline Pmhnp NPPES

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

GARY N CLINE PMHNP (NPI 1912879263) is an individual psychiatric/mental health provider in Prescott, Arizona, licensed in Arizona (329506) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912879263

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameGARY N CLINECredential: PMHNP

Location Address2120 CENTERPOINTE WEST DRPrescott, AZ 86301-8487

Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358

Phone(928) 778-4581

Fax(928) 776-1872

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 18, 2025

Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1912879263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 329506

2120 CENTERPOINTE WEST DR, Prescott, AZ 86301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary N Cline Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395230122

PECOS Enrollment IDI20251219000718

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gary Cline reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yavapai Regional Medical Center Physician Care LLC

3.5 mi

Cardiovascular Disease

3120 CLEARWATER DR
Prescott, AZ 86305

Reassigned Medicare billing, Arizona enrollment
138 clinicians in this Medicare group

NPI 1255582003 (928) 771-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETURAH LEGLER CPNP

Nurse Practitioner