The Little Clinic of Arizona LLC
NPI 1023216249ActiveOrganization· Nurse Practitioner, Family· Buckeye, AZ
Nurse Practitioner, Family in Buckeye, Arizona, registered in NPPES in July 2007. The authorized official on file is Thomas Shelly, MD, Vp & General Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023216249 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2007 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | OTC 4233 | AZ |
| Physician Assistant | 363A00000X | OTC 4233 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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