MARY PASTERNACKI FAMILY HEALTHCARE
NPI 1972965051
Family Medicine in Flagstaff, AZ
About Mary Pasternacki Family Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PASTERNACKI FAMILY HEALTHCARE (NPI 1972965051) is a healthcare organization registered as a family medicine in Flagstaff, Arizona and active in the NPI registry since March 2016. The organization lists Mary A Pasternacki, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Pasternacki Family Healthcare 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 Mary Pasternacki Family Healthcare, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mary Pasternacki Family Healthcare's NPI number?
The NPI number for Mary Pasternacki Family Healthcare is 1972965051. It was assigned to this organization in the NPPES registry on March 28, 2016.
Where is Mary Pasternacki Family Healthcare located?
Mary Pasternacki Family Healthcare is located at 1016 W University Ave Suite 206, Flagstaff, AZ 86001. The listed phone number is (928) 266-1530.
What is Mary Pasternacki Family Healthcare's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Pasternacki Family Healthcare enrolled in Medicare?
Yes. Mary Pasternacki Family Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mary Pasternacki Family Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mary Pasternacki Family Healthcare. 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 Mary Pasternacki Family Healthcare was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mary Pasternacki Family Healthcare · NPI 1972965051
Family Medicine organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since March 28, 2016.
## Identity
- **NPI:** 1972965051 (Entity type: Organization)
- **Enumerated:** March 28, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mary Pasternacki, OWNER
## Practice location
- **Address:** 1016 W UNIVERSITY AVE, SUITE 206, Flagstaff, AZ 86001-2994
- **Phone:** (928) 266-1530 · **Fax:** (928) 226-1531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1972965051) · Data from the CMS NPPES public registry.