Individual provider Active NPI

Michael D Prisbrey, BS DC PA-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1083648927
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10699 Issued in AZ
Practice address
6625 S Rural Rd Ste 104
Tempe, AZ 85283-3717
Phone
(844) 844-4755
NPI assigned
Jul 10, 2006
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10699 AZ Primary
Chiropractor 111N00000X 5970 AZ

Addresses

Primary practice location

6625 S Rural Rd Ste 104
Tempe, AZ 85283-3717

Mailing address

8307 E Plata Ave
Mesa, AZ 85212-1621
Phone (480) 329-5692

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324002758 AZ Practitioner - Physician Assistant 1355326570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Health PLLCGroup PAC ID 9830139617, 5 clinicians

Practice addresses (Care Compare)

2730 S Val Vista Dr
Suite 188
Gilbert, AZ 85295-1684
Phone (480) 324-0244

6625 S Rural Rd
Suite 104
Tempe, AZ 85283-3717
Phone (480) 833-4515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5970AZMDChiropractor
10699AZMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrihealth LLC Past Accepting new patients
Prisbrey PC Chiropractor PastSince Dec 8, 2024 Accepting new patients
Adult & Childrens Chiropractix, PC Chiropractor PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 4

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.

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": "1733184000000",
    "number": "1083648927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 E PLATA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121621",
            "telephone_number": "480-329-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "844-844-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISBREY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "BS  DC PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10699",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.