Organization Active NPI

Infinity Family Wellness

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1609346352
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INFINITY FAMILY WELLNESS
Practice address
1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone
(928) 445-5339
Fax
(928) 445-3644
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dusty R Lingle
Title
Biller
Phone
(928) 445-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1672 Oaklawn Dr
Prescott, AZ 86305-1106

Mailing address

1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone (928) 445-5339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226002664 AZ Part B Supplier - Clinic/Group Practice 7517206139 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2160508Infinity Family Wellness1672 Oaklawn Dr, Prescott, AZ 86305Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1609346352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "LINGLE",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "928-445-5339"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.