Individual provider Active NPI

Shirley Rheinfelder, M.D.

  • Family Medicine Physician
  • Prescott Valley, AZ
National Provider Identifier
1013941327
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31308 Issued in AZ
Practice address
3149 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone
(928) 445-6083
Fax
(928) 775-2307
NPI assigned
Jul 10, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31308 AZ Primary

Addresses

Primary practice location

3149 N Windsong Dr
Prescott Valley, AZ 86314-2240

Mailing address

20826 E Sierra Dr
Cordes Lakes, AZ 86333-2278
Phone (928) 713-1312

Other identifiers 3

IdentifierTypeStateIssuer
774762MedicaidAZ
AZ0734010OtherAZBCBS PROVIDER ID
Z74731OtherAZMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000032 AZ Practitioner - Family Practice 1557425675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3149 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 445-6083

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31308AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shirley Rheinfelder PLLC Family Medicine CurrentSince Mar 18, 2010 Accepting new patients
Gila Valley Clinic PC Past Accepting new patients

Locations

3149 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 445-6083

Interoperability endpoints

  • Direct secure messaging: shirley.rheinfelder.1@28589.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1013941327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20826 E SIERRA DR",
            "city": "CORDES LAKES",
            "state": "AZ",
            "postal_code": "863332278",
            "telephone_number": "928-713-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142240",
            "telephone_number": "928-445-6083",
            "fax_number": "928-775-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEINFELDER",
        "first_name": "SHIRLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774762",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "AZ0734010",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "Z74731",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.