1. Home
  2. Directory
  3. Arizona
  4. Sierra Vista
  5. Nurse Practitioner
  6. NPI Profile

JONATHAN HOWELL RUTHERFORD PMHNP
NPI 1154091932
Nurse Practitioner - Psychiatric/Mental Health in Sierra Vista, AZ

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
155 CALLE PORTAL STE 300, SIERRA VISTA, AZ 85635(520) 459-3011(520) 364-4261 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Sep 14, 2021 (2 updates tracked since 2021).

About Jonathan Howell Rutherford Pmhnp NPPES

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

JONATHAN HOWELL RUTHERFORD PMHNP (NPI 1154091932) is an individual psychiatric/mental health provider in Sierra Vista, Arizona, licensed in Arizona (260129) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154091932
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN HOWELL RUTHERFORDCredential: PMHNP
Location Address155 CALLE PORTAL STE 300Sierra Vista, AZ 85635-2900
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-6852 · Fax (520) 364-4261
Phone(520) 459-3011
Fax(520) 364-4261
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 14, 2021
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1154091932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 260129
155 CALLE PORTAL STE 300, Sierra Vista, AZ 85635
Open in Google Maps ↗

Other Identifiers 1

Medicaid106788AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Jonathan Howell Rutherford Pmhnp 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 ID1456744341
PECOS Enrollment IDI20220217002193
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 85635 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 16

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

JAIMIE CALLISON
Marriage & Family Therapist
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
LISA N TANT N.P.
Nurse Practitioner (Family)
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
JENNIFER HALE SMITH M.D.
Internal Medicine
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
DR. DANIELLE ERNESTINE GREEN DMD
Dentist
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
SHERRI ARENAS LPC
Counselor (Professional)
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
KATRINA VENTURA-MORANO M.D.
Internal Medicine
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
JAMIE LYNN FITZPATRICK APRN-RNP
Nurse Practitioner (Family)
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
CHELSEY M HOUSLEY RD
Dietitian, Registered
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011

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 Jonathan Rutherford's NPI number?

The NPI number for Jonathan Rutherford is 1154091932. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Jonathan Rutherford located?

Jonathan Rutherford practices at 155 Calle Portal Ste 300, Sierra Vista, AZ 85635. The listed phone number is (520) 459-3011.

What is Jonathan Rutherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Rutherford enrolled in Medicare?

Yes. Jonathan Rutherford 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 Jonathan Rutherford accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jonathan Rutherford 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 Jonathan Rutherford was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.