Claussen Collaborative Medical Clinic LLC
NPI 1023886546ActiveOrganization· Nurse Practitioner, Family· Prescott, AZ
Nurse Practitioner, Family in Prescott, Arizona, registered in NPPES in December 2023. The authorized official on file is Spencer James Claussen, FNP, PMHNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023886546 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2023 |
| Last updated in NPPES | Feb 5, 2024 |
| Certified by provider | Feb 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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