Mesa Physical Medicine PLLC
NPI 1154774305 · Primary Care Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mesa Physical Medicine PLLC is a Primary Care Nurse Practitioner organization in Mesa, AZ (NPI 1154774305).
Provider details
- NPI number
- 1154774305
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Scott Taylor, Ceo(480) 907-1322
- License
- AP4338 (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
10 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
- 2016-07-22
- Last updated
- 2016-09-30
Frequently asked questions
- What is Mesa Physical Medicine PLLC's NPI number?
- Mesa Physical Medicine PLLC's National Provider Identifier (NPI) is 1154774305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mesa Physical Medicine PLLC?
- Mesa Physical Medicine PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mesa Physical Medicine PLLC located?
- Mesa Physical Medicine PLLC's practice location on file with NPPES is 2919 S Ellsworth Rd, Mesa, AZ 85212-2164.
- What is Mesa Physical Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mesa Physical Medicine PLLC is (480) 354-2008.
- Does Mesa Physical Medicine PLLC accept Medicare?
- Mesa Physical Medicine 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 Mesa Physical Medicine PLLC?
- The authorized official listed on Mesa Physical Medicine PLLC's NPPES record is Scott Taylor, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mesa Physical Medicine PLLC's NPI active?
- Yes — Mesa Physical Medicine PLLC's NPI (1154774305) is active in the NPPES registry as of the last update on 2016-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.