Prestige Primary Care, PLLC
NPI 1144797374 · Primary Care Nurse Practitioner · Queen Creek, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Primary Care, PLLC is a Primary Care Nurse Practitioner organization in Queen Creek, AZ (NPI 1144797374).
Provider details
- NPI number
- 1144797374
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Candee Eisenhart, Owner(480) 815-7074
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 6343 E Main St Ste B1Mesa, AZ 85205-8972Phone: (480) 815-7074Fax: (949) 404-6076
- 1963 Commerce Center Cir Ste BPrescott, AZ 86301-4497Phone: (480) 815-7074Fax: (949) 404-6076
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Prestige Primary Care, PLLC's NPI number?
- Prestige Primary Care, PLLC's National Provider Identifier (NPI) is 1144797374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Primary Care, PLLC?
- Prestige Primary Care, PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prestige Primary Care, PLLC located?
- Prestige Primary Care, PLLC's practice location on file with NPPES is 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142-5993.
- What is Prestige Primary Care, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Primary Care, PLLC is (480) 815-7074.
- Does Prestige Primary Care, PLLC accept Medicare?
- Prestige Primary Care, PLLC 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 Prestige Primary Care, PLLC?
- The authorized official listed on Prestige Primary Care, PLLC's NPPES record is Candee Eisenhart, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Primary Care, PLLC's NPI active?
- Yes — Prestige Primary Care, PLLC's NPI (1144797374) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.