Mesa Physical Medicine PLLC
NPI 1154774305ActiveOrganization· Nurse Practitioner, Primary Care· Mesa, AZ
Nurse Practitioner, Primary Care in Mesa, Arizona, registered in NPPES in July 2016. The authorized official on file is Scott Taylor, D.C., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154774305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2016 |
| Last updated in NPPES | Sep 24, 2026 |
| Certified by provider | Sep 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | AP4338 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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