Individual provider Active NPI

Naomi Rinah Clancy, MD

  • Family Medicine Physician
  • Morenci, AZ
National Provider Identifier
1972504934
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48644 Issued in AZ
Practice address
401 Burro Alley
Morenci, AZ 85540
Phone
(928) 865-9184
Fax
(928) 865-7571
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2004016 NM
Family Medicine Physician 207Q00000X 48644 AZ Primary

Addresses

Primary practice location

401 Burro Alley
Morenci, AZ 85540

Mailing address

PO Box 218
Morenci, AZ 85540
Phone (928) 865-9184

Other identifiers 1

IdentifierTypeStateIssuer
86588711MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140409001027 AZ Practitioner - Family Practice 8921071721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48644AZMDFamily Medicine Physician
MD2004016NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Health Resources Family Medicine CurrentSince Feb 4, 2014 Accepting new patients

Locations

401 Burro Aly
#218
Morenci, AZ 85540

401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500

Interoperability endpoints

  • Direct secure messaging: naomi.clancy.1@33093.direct.athenahealth.com

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gila Health Resources 28 clinicians

Practice addresses (Care Compare)

401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7500

Hospital & facility affiliations

  • Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1972504934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "85540",
            "telephone_number": "928-865-9184",
            "fax_number": "928-865-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURRO ALLEY",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "85540",
            "telephone_number": "928-865-9184",
            "fax_number": "928-865-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "NAOMI",
        "middle_name": "RINAH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2004016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "48644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86588711",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morenci, AZ

Sources for this page

Verify at the official NPI Registry.