Mica L Adair, PA
Individual provider Active NPI Medical Physician Assistant · Prescott Valley, AZ
NPI 1831653377 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1831653377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 8197 (AZ)
- Practice address
- 3051 N Windsong Dr
Prescott Valley, AZ 86314-2248 - Phone
- (801) 556-9860
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nextcare Arizona I JV LLC
Practice addresses (Care Compare)
1000 N Humphreys St
Suite 104
Flagstaff, AZ 86001-3124
Phone (928) 779-3844
1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055
1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800
1810 Mesquite Ave
Suite B
Lake Havasu City, AZ 86403-5886
Phone (928) 453-4600
2062 Willow Creek Rd
Prescott, AZ 86301-5389
Phone (928) 443-5103
20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021
2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570
3051 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone (928) 772-3336
399 S Malpais LN
Suite 100
Flagstaff, AZ 86001-6269
Phone (928) 286-8830
450 S Willard St
Suite 120
Cottonwood, AZ 86326-6744
Phone (928) 634-2574
600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560
914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382
Hospital & facility affiliations
- Yavapai Regional Medical Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110003277 | AZ | Practitioner - Physician Assistant | 1052650900 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8197 | AZ | MD | Pharmacist |
Interoperability endpoints
- mica.adairpac.p1@direct.nextcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8197 | AZ | Yes |
Addresses
Primary practice location
3051 N Windsong Dr
Prescott Valley, AZ 86314-2248
Mailing address
3051 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone (801) 556-9860
Other providers in Prescott Valley, AZ
- A New Day a New Chance LLC
- Andrea J. Abad
- Debra Abari
- Abundant Peace Counseling PLLC
- Acorn Montessori Charter School Inc.
- Adam'S House Inc
- Adam'S House Inc
- John E. Adams
- Nooshin Adib
- Adjust to Health, Inc
All providers in Prescott Valley, AZ · Medical Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. 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.