Prisma Community Care
NPI 1104929504 · Registered Nurse · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prisma Community Care is a Registered Nurse organization in Phoenix, AZ (NPI 1104929504).
Provider details
- NPI number
- 1104929504
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Casey Simon, Authorized Official(602) 307-5330
Specialties & taxonomies
Nursing Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Public Health or Welfare Agency251K00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southwest Center
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2025-09-02
- Certified
- 2024-10-25
Frequently asked questions
- What is Prisma Community Care's NPI number?
- Prisma Community Care's National Provider Identifier (NPI) is 1104929504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prisma Community Care?
- Prisma Community Care is classified in the NPPES registry as Registered Nurse (Nursing Service Providers).
- Where is Prisma Community Care located?
- Prisma Community Care's practice location on file with NPPES is 1101 N. Central Avenue, Phoenix, AZ 85004.
- What is Prisma Community Care's phone number?
- The practice phone number listed in the NPPES registry for Prisma Community Care is (602) 307-5330.
- Does Prisma Community Care accept Medicare?
- Prisma Community Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prisma Community Care?
- The authorized official listed on Prisma Community Care's NPPES record is Casey Simon, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prisma Community Care's NPI active?
- Yes — Prisma Community Care's NPI (1104929504) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.