Individual provider Active NPI

Lora L Mills, P.A.

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1649422999
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4283 Issued in AZ
Practice address
5250 E Southern Ave
Mesa, AZ 85206
Phone
(602) 955-1000
Fax
(602) 508-4830
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019353 NY
Physician Assistant 363A00000X 6036 MA
Physician Assistant 363A00000X 53340 CA
Medical Physician Assistant 363AM0700X 3929 CT
Physician Assistant 363A00000X 4283 AZ Primary

Addresses

Primary practice location

5250 E Southern Ave
Mesa, AZ 85206

Mailing address

2124 E Broadmor Dr
Tempe, AZ 85282-3025
Phone (480) 330-4031

Other practice location 1

215 S Power Rd Ste 110
Mesa, AZ 85206-5236
Phone (480) 924-2288

Other identifiers 1

IdentifierTypeStateIssuer
437602MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081226000119 AZ Practitioner - Physician Assistant 3375605470 Reassigns benefits to 2 organizations
I20170317001028 CA Practitioner - Physician Assistant 3375605470 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019353NYMDClinical Psychologist
3929CTMDEndodontist
4283AZMDOccupational Therapist
6036MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Feb 11, 2017 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince May 1, 2018 Accepting new patients
Pih Health Physicians CurrentSince Feb 11, 2017 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince May 1, 2018 Accepting new patients
Apache Plume Healthcare Associates PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Community Health Partners Past Accepting new patients

Locations

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

199 S Candy Ln
Ste 2A
Cottonwood, AZ 86326
Phone (928) 632-2883

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

411 S Beeline Hwy
Ste A
Payson, AZ 85541
Phone (928) 474-3556

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

95 Soldiers Pass Rd
Ste A2
Sedona, AZ 86336
Phone (928) 203-1177

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

14820 N Del Webb Blvd
Sun City, AZ 85351

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

Organizations & group practices 9

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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649422999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 E BROADMOR DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823025",
            "telephone_number": "480-330-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 S Power Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852065236",
            "country_code": "US",
            "telephone_number": "480-924-2288",
            "fax_number": "480-924-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LORA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019353",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "6036",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53340",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3929",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437602",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.