Northern Arizona Surgical Assisting LLC
NPI 1568086437ActiveOrganization· Nurse Practitioner· Flagstaff, AZ
Nurse Practitioner in Flagstaff, Arizona, registered in NPPES in June 2020. The authorized official on file is Jessica A. Diefenbach, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568086437 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2020 |
| Last updated in NPPES | Apr 16, 2025 |
| Certified by provider | Apr 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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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