SAM WILLDEN SLADE
NPI 1972041093
Emergency Medicine in Kingman, AZ
About Sam Willden Slade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM WILLDEN SLADE (NPI 1972041093) is an individual emergency medicine provider in Kingman, Arizona, licensed in Colorado (CDR.0001413) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sam Willden Slade is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sam Slade reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laveen, AZ 85339
- Reassigned Medicare billing, Texas enrollment
- 482 clinicians in this Medicare group
Del Norte, CO 81132
- Reassigned Medicare billing, Colorado enrollment
- 203 clinicians in this Medicare group
Trinidad, CO 81082
- Reassigned Medicare billing, Arizona enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGMAN, AZ 86409
KINGMAN, AZ 86409
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 Sam Slade's NPI number?
The NPI number for Sam Slade is 1972041093. It was assigned to this individual provider in the NPPES registry on February 9, 2017.
Where is Sam Slade located?
Sam Slade practices at 3269 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 757-0649.
What is Sam Slade's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Sam Slade enrolled in Medicare?
Yes. Sam Slade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sam Slade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Slade reassigns Medicare benefits to 3 organizations: Gila River Health Care Corporation (Laveen, AZ), Lutheran Hospital Association Of The San Luis Valley (Del Norte, CO) and Innova Emergency Medical Associates PC (Trinidad, CO). Each 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 Sam Slade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sam Slade accept?
Health plans from Blue Cross Blue Shield of Arizona list Sam Slade 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 Sam Slade was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sam Willden Slade · NPI 1972041093
Emergency Medicine physician in Kingman, Arizona. Individual provider, active in the CMS NPPES registry since February 9, 2017.
## Identity
- **NPI:** 1972041093 (Entity type: Individual)
- **Enumerated:** February 9, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** CDR.0001413 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3269 N STOCKTON HILL RD, Kingman, AZ 86409-3619
- **Phone:** (928) 757-0649
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gila River Health Care Corporation (NPI 1376538231, Laveen, AZ); Lutheran Hospital Association Of The San Luis Valley (NPI 1851579262, Del Norte, CO); Innova Emergency Medical Associates PC (NPI 1295178978, Trinidad, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2017
## Record status
- **NPPES last updated:** December 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972041093) · Data from the CMS NPPES public registry.