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MR. PHILLIP CASEY DUBRAVCIC PMHNP
NPI 1962910760
Nurse Practitioner - Psychiatric/Mental Health in Flagstaff, AZ

Active since January 15, 2018PECOS Enrolled
906 W UNIVERSITY AVE STE 150, FLAGSTAFF, AZ 86001(928) 248-8082(855) 930-4003 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2024, Mar 17, 2018, Feb 16, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Phillip Casey Dubravcic Pmhnp NPPES

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

MR. PHILLIP CASEY DUBRAVCIC PMHNP (NPI 1962910760) is an individual psychiatric/mental health provider in Flagstaff, Arizona, licensed in Arizona (AP10899) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962910760
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. PHILLIP CASEY DUBRAVCICCredential: PMHNP
Location Address906 W UNIVERSITY AVE STE 150Flagstaff, AZ 86001-2603
Mailing Address906 W University Ave Ste 150Flagstaff, AZ 86001-2603 · (928) 248-8082 · Fax (855) 930-4003
Phone(928) 248-8082
Fax(855) 930-4003
Sole ProprietorNo
Enumeration DateJanuary 15, 2018
Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1962910760 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 · AP10899
906 W UNIVERSITY AVE STE 150, Flagstaff, AZ 86001
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11785 W State Route 89A Ste 2BSedona, AZ 86336-5576 · Phone (928) 248-8082 · Fax (855) 930-4003
Location 21800 S Milton Rd Ste 26Flagstaff, AZ 86001-6340 · Phone (928) 248-8082 · Fax (855) 930-4003
Location 33173 N Windsong DrPrescott Valley, AZ 86314-2240 · Phone (928) 493-8222 · Fax (855) 930-4003

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)

Mr. Phillip Casey Dubravcic Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Phillip Dubravcic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Revitalize Ketamine Clinic LLC
0.3 mi
Multi-Specialty
1800 S MILTON RD STE 26
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1346911195 (928) 213-6931

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 86001 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

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

SYNAPTIC PSYCHIATRY LLC
Psychiatry & Neurology (Psychiatry)
906 W UNIVERSITY AVE STE 150
FLAGSTAFF, AZ 86001
Coconino County (928) 248-8082

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 Phillip Dubravcic's NPI number?

The NPI number for Phillip Dubravcic is 1962910760. It was assigned to this individual provider in the NPPES registry on January 15, 2018.

Where is Phillip Dubravcic located?

Phillip Dubravcic practices at 906 W University Ave Ste 150, Flagstaff, AZ 86001. The listed phone number is (928) 248-8082.

What is Phillip Dubravcic's specialty?

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

Is Phillip Dubravcic enrolled in Medicare?

Yes. Phillip Dubravcic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phillip Dubravcic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Dubravcic reassigns Medicare benefits to Revitalize Ketamine Clinic LLC (Flagstaff, AZ). The 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 Phillip Dubravcic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Dubravcic accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Phillip Dubravcic 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 Phillip Dubravcic was last updated on July 17, 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.