Legacy Wellness PLLC
NPI 1912731712 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Wellness PLLC is a Family Medicine Physician organization in Phoenix, AZ (NPI 1912731712).
Provider details
- NPI number
- 1912731712
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Kelly, Provider(623) 792-3584
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- Legacy Wellness PLLC
Registry dates
- Enumerated
- 2024-08-26
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Frequently asked questions
- What is Legacy Wellness PLLC's NPI number?
- Legacy Wellness PLLC's National Provider Identifier (NPI) is 1912731712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Wellness PLLC?
- Legacy Wellness PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Wellness PLLC located?
- Legacy Wellness PLLC's practice location on file with NPPES is 19841 N 27th Ave Ste 204, Phoenix, AZ 85027-4005.
- What is Legacy Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Wellness PLLC is (623) 792-3584.
- Does Legacy Wellness PLLC accept Medicare?
- Legacy Wellness 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 Legacy Wellness PLLC?
- The authorized official listed on Legacy Wellness PLLC's NPPES record is Kristin Kelly, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Wellness PLLC's NPI active?
- Yes — Legacy Wellness PLLC's NPI (1912731712) is active in the NPPES registry as of the last update on 2024-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.