NORTHERN ARIZONA DERMATOLOGY CENTER PC
NPI 1922293349
Dermatology in Cottonwood, AZ
About Northern Arizona Dermatology Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN ARIZONA DERMATOLOGY CENTER PC (NPI 1922293349) is a healthcare organization registered as a dermatology in Cottonwood, Arizona and active in the NPI registry since September 2007. The organization lists Cynthia A Knutson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Northern Arizona Dermatology Center Pc 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.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Northern Arizona Dermatology Center PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Northern Arizona Dermatology Center PC's NPI number?
The NPI number for Northern Arizona Dermatology Center PC is 1922293349. It was assigned to this organization in the NPPES registry on September 10, 2007.
Where is Northern Arizona Dermatology Center PC located?
Northern Arizona Dermatology Center PC is located at 297 S Willard St, Cottonwood, AZ 86326. The listed phone number is (928) 639-9596.
What is Northern Arizona Dermatology Center PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Northern Arizona Dermatology Center PC enrolled in Medicare?
Yes. Northern Arizona Dermatology Center PC is registered in the Medicare PECOS enrollment system.
When is Northern Arizona Dermatology Center PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) 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 Northern Arizona Dermatology Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Dermatology, reassign their Medicare billing to Northern Arizona Dermatology Center PC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northern Arizona Dermatology Center PC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Northern Arizona Dermatology Center PC 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 Northern Arizona Dermatology Center PC was last updated on July 21, 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.
# Northern Arizona Dermatology Center Pc · NPI 1922293349
Dermatology organization in Cottonwood, Arizona. Organization record, active in the CMS NPPES registry since September 10, 2007.
## Identity
- **NPI:** 1922293349 (Entity type: Organization)
- **Enumerated:** September 10, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Knutson, CEO
## Practice location
- **Address:** 297 S WILLARD ST, Cottonwood, AZ 86326
- **Phone:** (928) 639-9596 · **Fax:** (928) 639-0189
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2011
- **Other identifiers:** Medicare UPIN 23559 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1922293349) · Data from the CMS NPPES public registry.