MICHELLE NICOLA JENNINGS
NPI 1104334077
Nurse Practitioner - Adult Health in Surprise, AZ

Q: What is Michelle Jennings's NPI number?

The NPI number for Michelle Jennings is 1104334077. It was assigned to this individual provider in the NPPES registry on January 13, 2018.

Q: What is Michelle Jennings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Jennings was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 13, 2018PECOS Enrolled

17674 N LITCHFIELD RD, SURPRISE, AZ 85374(623) 281-3001(480) 906-2180 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, May 18, 2022, Mar 23, 2018 and 1 more (4 updates tracked since 2018).

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About Michelle Nicola Jennings NPPES

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

MICHELLE NICOLA JENNINGS (NPI 1104334077) is an individual adult health provider in Surprise, Arizona, licensed in Arizona (20124) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104334077

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMICHELLE NICOLA JENNINGS

Location Address17674 N LITCHFIELD RDSurprise, AZ 85374-2478

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250

Phone(623) 281-3001

Fax(480) 906-2180

Sole ProprietorNo

Enumeration DateJanuary 13, 2018

Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1104334077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in AZ · 20124✔ Licensed in NC · 5010178

17674 N LITCHFIELD RD, Surprise, AZ 85374

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Secondary Practice Locations 2

Location 11235 Ramsey StFayetteville, NC 28301-4401 · Phone (910) 433-3834

Location 26052 N 59th AveGlendale, AZ 85301-7709 · Phone (480) 618-0176

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Nicola Jennings 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 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

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 7

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

DR. ROEL CONRAD JAMIS

Internal Medicine