GENESIS HEALTH, LLC
NPI 1942069661
Nurse Practitioner - Family in Bullhead City, AZ

Active since March 15, 2024
2055 HIGHWAY 95, BULLHEAD CITY, AZ 86442(928) 278-4354 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Genesis Health, Llc NPPES

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

GENESIS HEALTH, LLC (NPI 1942069661), doing business as Raya Primary Care, is a healthcare organization registered as a family in Bullhead City, Arizona and active in the NPI registry since March 2024. The organization lists John Hassett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942069661
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGENESIS HEALTH, LLC
Location Address2055 HIGHWAY 95Bullhead City, AZ 86442-6004
Mailing Address5059 S Lakewood RdFort Mohave, AZ 86426-6501
Organization SubpartNo
Authorized OfficialJohn HassettCeo · (928) 716-6978
Enumeration DateMarch 15, 2024
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1942069661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2055 HIGHWAY 95, Bullhead City, AZ 86442

Other Names 1

Doing Business AsRaya Primary Care

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Health, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1073917829
1225 HANCOCK RD STE 203
Bullhead City, AZ 86442
(928) 324-6300
✔ PECOS0.5 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 Genesis Health, LLC's NPI number?

The NPI number for Genesis Health, LLC is 1942069661. It was assigned to this organization in the NPPES registry on March 15, 2024. The provider is doing business as Raya Primary Care.

Where is Genesis Health, LLC located?

Genesis Health, LLC is located at 2055 Highway 95, Bullhead City, AZ 86442. The listed phone number is (928) 278-4354.

What is Genesis Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Genesis Health, LLC enrolled in Medicare?

Yes. Genesis Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Genesis Health, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Health, LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.