John R Alessi, DO
Individual provider Active NPI Family Medicine Physician · Prescott Valley, AZ
NPI 1629099387 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1629099387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 007784 (AZ)
- Practice address
- 6648 N Viewpoint Dr Ste 5
Prescott Valley, AZ 86315-4942 - Phone
- (928) 636-5680
- Fax
- (928) 636-5853
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yavapai Regional Medical Center Physician Care LLC
Practice addresses (Care Compare)
474 N Hwy 89
Chino Valley, AZ 86323-5993
Phone (928) 636-5680
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Nurses Network by Quality Home Health Care
- Angels Care Home Health of Arizona
- Centerwell Home Health
- Yavapai Regional Medical Center
- Mountain Valley Regional Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 61 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200220001096 | AZ | Practitioner - Family Practice | 7012825730 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007784 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Regional Medical Center Physician Care LLC | Current |
Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care | Past |
Accepting new patients | |
| Prescott Gastroenterology | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Columbus Urgent Care Center | Family Medicine | Past | Accepting new patients |
Locations
474 N US Highway 89
Chino Valley, AZ 86323
Phone (520) 636-4355
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
6648 N Viewpoint Dr
Ste 5
Prescott Valley, AZ 86315
Phone (928) 708-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02001677A | IN | |
| Family Medicine Physician | 207Q00000X | 007784 | AZ | Yes |
Addresses
Primary practice location
6648 N Viewpoint Dr Ste 5
Prescott Valley, AZ 86315-4942
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z255368 | Other | AZ | MEDICARE |
| 448808 | Medicaid | AZ | |
| CC3757 | Other | RAILROAD MEDICARE | |
| 200062550A | Medicaid | IN | |
| 000000990240 | Other | IN | ANTHEM PIN |
Other providers in Prescott Valley, AZ
- Kimberly L Albarran
- Patricia Louise Albrecht
- Kelly Grace Aldrich
- Theresa Alef
- Heidi S Alessi
- Karen Alexander
- Francis Allen
- Alliance Healthcare Services Inc
- Holly Ann Allred
- Jennifer Marie Almendarez
All providers in Prescott Valley, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.