Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mykel Craig Frey

Individual provider Family Medicine Physician · NPI 1285375501

Mykel Craig Frey is a Family Practice in Queen Creek, Arizona. Qualified in 2022, 4 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone: (480) 512-3700
Fax: (480) 512-3715
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 011711 (AZ)

Record details

NPI number1285375501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2022
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Queen Creek