COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS
NPI 1942217088
Clinic/Center in Douglas, AZ
About Copper Queen Medical Associates Douglas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS (NPI 1942217088) is a healthcare organization registered as a clinic/center in Douglas, Arizona and active in the NPI registry since August 2006. The organization lists Betty Jo Carrizoza, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Copper Queen Medical Associates Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
127Medicare enrollment records show 127 clinicians reassign Medicare billing to Copper Queen Medical Associates Douglas, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 127Douglas, AZ 85607
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 Copper Queen Medical Associates Douglas's NPI number?
The NPI number for Copper Queen Medical Associates Douglas is 1942217088. It was assigned to this organization in the NPPES registry on August 2, 2006.
Where is Copper Queen Medical Associates Douglas located?
Copper Queen Medical Associates Douglas is located at 100 E 5th St, Douglas, AZ 85607. The listed phone number is (520) 364-7659.
What is Copper Queen Medical Associates Douglas's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Copper Queen Medical Associates Douglas enrolled in Medicare?
Yes. Copper Queen Medical Associates Douglas is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Copper Queen Medical Associates Douglas?
According to the CMS Revalidation Reassignment List (October 2026 release), 127 clinicians in 19 Medicare specialties reassign their Medicare billing to Copper Queen Medical Associates Douglas. 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 Emergency Medicine (43), Nurse Practitioner (36) and Family Practice (15). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Copper Queen Medical Associates Douglas accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Copper Queen Medical Associates Douglas 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 Copper Queen Medical Associates Douglas was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Copper Queen Medical Associates Douglas · NPI 1942217088
Clinic/Center organization in Douglas, Arizona. Organization record, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1942217088 (Entity type: Organization)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Betty Carrizoza, OFFICE MANAGER
## Practice location
- **Address:** 100 E 5TH ST, Douglas, AZ 85607-2859
- **Phone:** (520) 364-7659 · **Fax:** (520) 364-8541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 127 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (43), Nurse Practitioner (36), Family Practice (15); 6 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1942217088/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1942217088) · Data from the CMS NPPES public registry.