MRS. JAMIE LEE ENGSTROM PA-C
NPI 1053538389
Physician Assistant in Phoenix, AZ

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
4638 E SHEA BLVD, STE B 210, PHOENIX, AZ 85028(602) 867-7546 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 6, 2017 (2 updates tracked since 2017).

About Mrs. Jamie Lee Engstrom Pa-c NPPES

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

MRS. JAMIE LEE ENGSTROM PA-C (NPI 1053538389) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (2902) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053538389
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JAMIE LEE ENGSTROMCredential: PA-C
Location Address4638 E SHEA BLVD, STE B 210Phoenix, AZ 85028-3072
Mailing Address14044 W Camelback RdLitchfield Park, AZ 85340-9428 · (623) 935-9600 · Fax (623) 935-9602
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 19, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1053538389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 2902
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4638 E SHEA BLVD, Phoenix, AZ 85028

Secondary Practice Locations 2

Location 14638 E Shea Blvd, Ste B 210Phoenix, AZ 85028-3072 · Phone (602) 867-7546
Location 221753 N 77th AvePeoria, AZ 85382-2110 · Phone (623) 935-9600 · Fax (623) 935-9602

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jamie Lee Engstrom Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133153489
PECOS Enrollment IDI20050926000617
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services21 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
4638 E SHEA BLVD, SUITE B-170
PHOENIX, AZ 85028
Audiologist
4638 E SHEA BLVD, STE. B-170
PHOENIX, AZ 85028

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 Jamie Engstrom's NPI number?

The NPI number for Jamie Engstrom is 1053538389. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Jamie Engstrom located?

Jamie Engstrom practices at 4638 E Shea Blvd Ste B 210, Phoenix, AZ 85028. The listed phone number is (602) 867-7546.

What is Jamie Engstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jamie Engstrom enrolled in Medicare?

Yes. Jamie Engstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jamie Engstrom accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Jamie Engstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamie Engstrom was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.