Peaks Primary Care, LLC
NPI 1700583879ActiveOrganization· Nurse Practitioner, Primary Care· Prescott, AZ
Nurse Practitioner, Primary Care in Prescott, Arizona, registered in NPPES in February 2023. The authorized official on file is Teri Ellerbe, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700583879 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2023 |
| Last updated in NPPES | Oct 24, 2023 |
| Certified by provider | Oct 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
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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