Prima Medical Care LLC
NPI 1467225789ActiveOrganization· General Practice· Lake Havasu City, AZ
General Practice in Lake Havasu City, Arizona, registered in NPPES in October 2023. The authorized official on file is Katie Jean Colonna, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467225789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2023 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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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