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MRS. JENNIFER DIAZ NP
NPI 1013518711
Nurse Practitioner - Family in Pismo Beach, CA

Active since November 08, 2020PECOS Enrolled
575 PRICE ST STE 101, PISMO BEACH, CA 93449(805) 773-0707(805) 773-2051 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Dec 9, 2020, Nov 12, 2020 and 1 more (4 updates tracked since 2020).

About Mrs. Jennifer Diaz Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER DIAZ NP (NPI 1013518711) is an individual family provider in Pismo Beach, California, licensed in California (95015632) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013518711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER DIAZCredential: NP
Location Address575 PRICE ST STE 101Pismo Beach, CA 93449-2553
Mailing Address575 Price St Ste 101Pismo Beach, CA 93449-2553 · (805) 773-0707 · Fax (805) 773-2051
Phone(805) 773-0707
Fax(805) 773-2051
Sole ProprietorYes
Enumeration DateNovember 8, 2020
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1013518711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015632
575 PRICE ST STE 101, Pismo Beach, CA 93449
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Diaz Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
Same address
Family Medicine
575 PRICE ST, SUITE 101
Pismo Beach, CA 93449
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1497746473 (805) 773-0707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Diaz's NPI number?

The NPI number for Jennifer Diaz is 1013518711. It was assigned to this individual provider in the NPPES registry on November 8, 2020.

Where is Jennifer Diaz located?

Jennifer Diaz practices at 575 Price St Ste 101, Pismo Beach, CA 93449. The listed phone number is (805) 773-0707.

What is Jennifer Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Diaz enrolled in Medicare?

Yes. Jennifer Diaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Diaz reassigns Medicare benefits to Pismo Family Practice Medical Corporation A Ca Prof Medical Corp (Pismo Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Diaz was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.