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JAIME LARAE MCCOY FNP-C
NPI 1134094634
Nurse Practitioner - Family in Mesa, AZ

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
1917 S CRISMON RD, MESA, AZ 85209(480) 610-7100 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2026, Oct 6, 2025 (2 updates tracked since 2025).

About Jaime Larae Mccoy Fnp-c NPPES

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

JAIME LARAE MCCOY FNP-C (NPI 1134094634) is an individual family provider in Mesa, Arizona, licensed in Arizona (330106) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134094634
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAIME LARAE MCCOYCredential: FNP-C
Location Address1917 S CRISMON RDMesa, AZ 85209-6216
Mailing Address1917 S Crismon RdMesa, AZ 85209-6216 · (480) 610-7100
Phone(480) 610-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1134094634 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 · 330106
1917 S CRISMON RD, Mesa, AZ 85209
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

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

Jaime Larae Mccoy Fnp-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 ID5395226484
PECOS Enrollment IDI20260226001763
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 Jaime Mccoy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Primary Care Physicians Arizona LLC
27 mi
Primary Care
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 271 clinicians in this Medicare group
NPI 1417238908 (602) 747-4000

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 85209 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 17

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

MATTHEW LI-AN AU MD
Internal Medicine
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Clinic/Center (Primary Care)
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100
DR. PHILIP M MANZANO MD
Family Medicine
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (806) 107-1004
LISA D ROMERO FNP-C
Nurse Practitioner
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100
KERRY M AMSTUTZ DO
Family Medicine
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100
DR. SARAH MCKENNA D.O.
Family Medicine
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100
ANITA FERNANDES WILLIAMS RN
Nurse Practitioner (Family)
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100
KELSEY NOVAK PSYD
Psychologist (Health)
1917 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 610-7100

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 Jaime Mccoy's NPI number?

The NPI number for Jaime Mccoy is 1134094634. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Jaime Mccoy located?

Jaime Mccoy practices at 1917 S Crismon Rd, Mesa, AZ 85209. The listed phone number is (480) 610-7100.

What is Jaime Mccoy's specialty?

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

Is Jaime Mccoy enrolled in Medicare?

Yes. Jaime Mccoy 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 Jaime Mccoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Mccoy reassigns Medicare benefits to Banner Primary Care Physicians Arizona LLC (Phoenix, 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 Jaime Mccoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaime Mccoy accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jaime Mccoy 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 Jaime Mccoy was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.