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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (297 clinicians)

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 Hospital · Prescott, AZ · CCN 030012

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 IDStateProvider typePAC IDDetails
I20201110003277 AZ Practitioner - Physician Assistant 1052650900 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8197AZMDPharmacist

Interoperability endpoints

  • Direct secure messaging: mica.adairpac.p1@direct.nextcare.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Prescott Valley, AZ · Medical Physician Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.