Innovative Health Care of Havasu LLC
NPI 1114230893 · Family Health Clinical Nurse Specialist · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Health Care of Havasu LLC is a Family Health Clinical Nurse Specialist organization in Lake Havasu City, AZ (NPI 1114230893).
Provider details
- NPI number
- 1114230893
- Entity type
- Organization
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Summer Tilgner, Owner(928) 854-7666
- License
- AP3726 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2018-05-23
Frequently asked questions
- What is Innovative Health Care of Havasu LLC's NPI number?
- Innovative Health Care of Havasu LLC's National Provider Identifier (NPI) is 1114230893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Health Care of Havasu LLC?
- Innovative Health Care of Havasu LLC is classified in the NPPES registry as Family Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Innovative Health Care of Havasu LLC located?
- Innovative Health Care of Havasu LLC's practice location on file with NPPES is 297 Lake Havasu Ave South, Lake Havasu City, AZ 86403.
- What is Innovative Health Care of Havasu LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Health Care of Havasu LLC is (928) 854-7666.
- Does Innovative Health Care of Havasu LLC accept Medicare?
- Innovative Health Care of Havasu LLC 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 Innovative Health Care of Havasu LLC?
- The authorized official listed on Innovative Health Care of Havasu LLC's NPPES record is Summer Tilgner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Health Care of Havasu LLC's NPI active?
- Yes — Innovative Health Care of Havasu LLC's NPI (1114230893) is active in the NPPES registry as of the last update on 2018-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.