BANNER URGENT CARE SERVICES, LLC
NPI 1942653019
Clinic/Center - Urgent Care in San Tan Valley, AZ

Active since July 13, 2016CLIA 03D2097346 · Waiver
35945 N GARY RD, SAN TAN VALLEY, AZ 85143(480) 222-0112(480) 222-0111 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2026, Jun 18, 2025, Jan 27, 2022 and 2 more (5 updates tracked since 2016).

About Banner Urgent Care Services, Llc NPPES

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

BANNER URGENT CARE SERVICES, LLC (NPI 1942653019) is a healthcare organization registered as an urgent care in San Tan Valley, Arizona and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in San Tan Valley, and lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1942653019
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBANNER URGENT CARE SERVICES, LLC
Location Address35945 N GARY RDSan Tan Valley, AZ 85143-5748
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(480) 222-0111
Organization SubpartYesParent: Banner Health
Authorized OfficialPatrick PenroseVp · (602) 747-4000
Enumeration DateJuly 13, 2016
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1942653019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
35945 N GARY RD, San Tan Valley, AZ 85143

Secondary Practice Location 1

Location 140773 N Ironwood DrSan Tan Valley, AZ 85140-7002 · Phone (480) 827-5760

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)

Banner Urgent Care Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

182

Medicare enrollment records show 182 clinicians reassign Medicare billing to Banner Urgent Care Services, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner150
Family Practice17
Emergency Medicine5
General Practice4
Pediatric Medicine3
Geriatric Medicine1
Osteopathic Manipulative Medicine1
Sleep Medicine1

Nearest to this location (20)

See all 182
Nurse Practitioner
NPI 1043776867
35945 N GARY RD
San Tan Valley, AZ 85143
(480) 827-5750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356854772
35945 N GARY RD
San Tan Valley, AZ 85143
(480) 827-5750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659676351
287 E HUNT HWY
San Tan Valley, AZ 85143
(480) 677-8282
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1649620147
20713 E OCOTILLO RD UNIT 100
Queen Creek, AZ 85142
(480) 882-9993
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1770278293
3160 E QUEEN CREEK RD
Gilbert, AZ 85297
(480) 827-5790
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1477284834
3126 S HIGLEY RD STE 109
Gilbert, AZ 85295
(480) 827-5780
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1841053485
3126 S HIGLEY RD STE 109
Gilbert, AZ 85295
(480) 827-5780
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1316324080
1422 E STRAWBERRY DR
Gilbert, AZ 85298
(480) 612-3043
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1235572991
3285 S VAL VISTA DR
Gilbert, AZ 85297
(480) 397-2800
✔ PECOS12 mi
Nurse Practitioner
NPI 1770324964
9221 E BASELINE RD STE A106
Mesa, AZ 85209
(480) 677-8282
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1467078139
837 S PARKCREST ST
Gilbert, AZ 85296
(928) 208-1311
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1164901559
3200 S GILBERT RD
Chandler, AZ 85286
(480) 827-5700
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1588350144
1301 S CRISMON RD
Mesa, AZ 85209
(480) 358-6100
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1346902202
5980 S COOPER RD STE 1
Chandler, AZ 85249
(480) 704-3474
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1669224879
7233 E BASELINE RD STE 126
Mesa, AZ 85209
(480) 699-2222
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1619423001
1250 S CLEARVIEW AVE STE 100
Mesa, AZ 85209
(480) 423-4670
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1699880369
155 E WARNER RD
Gilbert, AZ 85296
(480) 649-6600
✔ PECOS15 mi
Pediatric Medicine
NPI 1528048287
1840 S STAPLEY DR
Mesa, AZ 85204
(480) 464-8500
✔ PECOS18 mi
Family Practice
NPI 1588674832
1100 S DOBSON RD STE 100
Chandler, AZ 85286
(480) 347-4300
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1336106947
1151 N GILBERT RD
Mesa, AZ 85203
(480) 610-0688
✔ PECOS✔ Accepts Medicare20 mi
See all 182 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2097346

Banner Urgent Care Services LLC · San Tan Valley, AZ
Active · expires Jun 11, 2027
CLIA Number03D2097346
Laboratory TypeUrgent Care
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorRobert Johns
Laboratory Phone(480) 827-5750
Laboratory LocationBanner Urgent Care Services LLC35945 N Gary Rd, San Tan Valley, AZ 85143
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Banner Urgent Care Services, LLC's NPI number?

The NPI number for Banner Urgent Care Services, LLC is 1942653019. It was assigned to this organization in the NPPES registry on July 13, 2016.

Where is Banner Urgent Care Services, LLC located?

Banner Urgent Care Services, LLC is located at 35945 N Gary Rd, San Tan Valley, AZ 85143. The listed phone number is (480) 222-0112.

What is Banner Urgent Care Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Banner Urgent Care Services, LLC enrolled in Medicare?

Yes. Banner Urgent Care Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Urgent Care Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 182 clinicians in 8 Medicare specialties reassign their Medicare billing to Banner Urgent Care Services, 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. The largest specialties are Nurse Practitioner (150), Family Practice (17) and Emergency Medicine (5). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Urgent Care Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2097346) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Urgent Care Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Banner Urgent Care Services, LLC 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 Banner Urgent Care Services, LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.