JESSICA L FUGATT FNP-C
NPI 1164107462
Nurse Practitioner - Family in Winslow, AZ

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Aug 15, 2023, Aug 10, 2023 and 1 more (4 updates tracked since 2023).

About Jessica L Fugatt Fnp-c NPPES

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

JESSICA L FUGATT FNP-C (NPI 1164107462) is an individual family provider in Winslow, Arizona, licensed in Arizona (295511) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164107462
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA L FUGATTCredential: FNP-C
Location Address200 LEE STWinslow, AZ 86047-2603
Mailing Address200 Lee StWinslow, AZ 86047-2603 · (928) 289-3396
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 15, 2023
Last NPPES UpdateDecember 27, 20234 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
NPI 1164107462 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 · 295511
200 LEE ST, Winslow, AZ 86047

Accepted 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

Jessica L Fugatt 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 ID5698138907
PECOS Enrollment IDI20230901002183
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 86047 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 4

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

Family Medicine
200 LEE ST
WINSLOW, AZ 86047
Clinic/Center (Rural Health)
200 LEE ST
WINSLOW, AZ 86047
Surgery
200 LEE ST
WINSLOW, AZ 86047
Nurse Practitioner
200 LEE ST
WINSLOW, AZ 86047

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 Jessica Fugatt's NPI number?

The NPI number for Jessica Fugatt is 1164107462. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Jessica Fugatt located?

Jessica Fugatt practices at 200 Lee St, Winslow, AZ 86047. The listed phone number is (928) 289-3396.

What is Jessica Fugatt's specialty?

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

Is Jessica Fugatt enrolled in Medicare?

Yes. Jessica Fugatt 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 Jessica Fugatt accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jessica Fugatt 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 Jessica Fugatt was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.