Individual provider Active NPI

Trinity Carlene Harshbarger

  • Physician Assistant
  • Peoria, AZ
National Provider Identifier
1013738103
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
145778 Issued in MT
Practice address
21753 N 77TH Ave
Peoria, AZ 85382-2110
Phone
(623) 935-9600
Fax
(623) 935-9602
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 145778 MT Primary

Addresses

Primary practice location

21753 N 77TH Ave
Peoria, AZ 85382-2110

Mailing address

14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone (623) 935-9600

Other practice location 1

14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone (623) 935-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14044 W Camelback Rd
Suite 204
Litchfield Park, AZ 85340-9426

165 Johnson Ave
Dillon, MT 59725-3336

23174 N 106TH Dr
Peoria, AZ 85383-5713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11218AZMDClinical Social Worker
145778MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Family Medicine PLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

21753 N 77th Ave
Peoria, AZ 85382
Phone (623) 935-9600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1013738103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 204",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409426",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21753 N 77TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822110",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14044 W Camelback Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853409426",
            "country_code": "US",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARSHBARGER",
        "first_name": "TRINITY",
        "middle_name": "CARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "145778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.