ROBERT JOSEPH IBARRA FNP-C - NPI 1114728391 - Nurse Practitioner in Mesa, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Robert Joseph Ibarra Fnp-c NPPES

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

ROBERT JOSEPH IBARRA FNP-C (NPI 1114728391) is an individual family provider in Mesa, Arizona, licensed in Arizona (283519) and active in the NPI registry since March 2025. He has opted out of Medicare through May 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114728391

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameROBERT JOSEPH IBARRACredential: FNP-C

Location Address1148 W BASELINE RDMesa, AZ 85210-5971

Mailing Address3719 E Inverness Ave Unit 6Mesa, AZ 85206-3802 · (406) 860-8861

Phone(480) 559-3149

Sole ProprietorNo

Enumeration DateMarch 22, 2025

Last NPPES UpdateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1114728391 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 AZ · 283519

1148 W BASELINE RD, Mesa, AZ 85210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Robert Joseph Ibarra Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2025 through May 6, 2027.

Opt-Out Effective DateMay 6, 2025

Opt-Out In Effect ThroughMay 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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 5

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

CHAD REILY METZ LMSW

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