JOLANTA URSZULA BUDNIK BSN, MSN, PMHNP-BC
NPI 1104375005
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Jolanta Urszula Budnik Bsn, Msn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLANTA URSZULA BUDNIK BSN, MSN, PMHNP-BC (NPI 1104375005) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95024546) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jolanta Urszula Budnik Bsn, Msn, Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jolanta Budnik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
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 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Jolanta Budnik's NPI number?
The NPI number for Jolanta Budnik is 1104375005. It was assigned to this individual provider in the NPPES registry on October 3, 2016.
Where is Jolanta Budnik located?
Jolanta Budnik practices at 4540 Kearny Villa Rd Ste 103, San Diego, CA 92123. The listed phone number is (858) 279-1223.
What is Jolanta Budnik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jolanta Budnik enrolled in Medicare?
Yes. Jolanta Budnik 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.
Which organization bills Medicare for Jolanta Budnik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolanta Budnik reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Jolanta Budnik'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 Jolanta Budnik was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jolanta Urszula Budnik, BSN, MSN, PMHNP-BC · NPI 1104375005
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 3, 2016.
## Identity
- **NPI:** 1104375005 (Entity type: Individual)
- **Enumerated:** October 3, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95024546 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4540 KEARNY VILLA RD STE 103, San Diego, CA 92123-1564
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104375005) · Data from the CMS NPPES public registry.