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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

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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, Cigna HealthCare of Arizona, Inc, 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Rutherford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiricahua Community Health Centers, Inc

Same address

Federally Qualified Health Center (FQHC)

155 CALLE PORTAL, SUITE 300
Sierra Vista, AZ 85635

Reassigned Medicare billing, Arizona enrollment
65 clinicians in this Medicare group

NPI 1417331711 (520) 459-3011

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 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 17

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

JAIMIE CALLISON

Marriage & Family Therapist