1. Home
  2. Directory
  3. Arizona
  4. Prescott Valley
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMY JAMES PENE NP
NPI 1184960403
Nurse Practitioner - Family in Prescott Valley, AZ

Active since December 13, 2012PECOS EnrolledAccepts Medicare Assignment
6546 E 2ND ST STE C, PRESCOTT VALLEY, AZ 86314(928) 327-7528(928) 327-7482 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Apr 11, 2026, Sep 16, 2025 and 1 more (4 updates tracked since 2021).

About Jeremy James Pene Np NPPES

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

JEREMY JAMES PENE NP (NPI 1184960403) is an individual family provider in Prescott Valley, Arizona, licensed in Arizona (322104) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184960403
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY JAMES PENECredential: NP
Location Address6546 E 2ND ST STE CPrescott Valley, AZ 86314-3540
Mailing Address3165 Stillwater DrPrescott, AZ 86305-7173 · (928) 277-0875
Phone(928) 327-7528
Fax(928) 327-7482
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 13, 2012
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1184960403 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
Licenses✔ Licensed in AZ · 322104✔ Licensed in CA · 603362
6546 E 2ND ST STE C, Prescott Valley, AZ 86314
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Jeremy James Pene Np 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 ID547414963
PECOS Enrollment IDI20250902001061
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 Reassignments

5

Medicare enrollment records show Jeremy Pene reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantage Primary Health LLC
Same address
Family
6546 E 2ND ST STE C
Prescott Valley, AZ 86314
  • Reassigned Medicare billing, Arizona enrollment
NPI 1477496032 (928) 327-7528
Exceptional Physicians Group Prescott Hospital PLLC
2.2 mi
Emergency Medical Services
4822 E STATE ROUTE 69
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 123 clinicians in this Medicare group
NPI 1720807670 (972) 740-9335
Priority Family Medical Clinic LLC
6.7 mi
Family Medicine
3165 STILLWATER DR
Prescott, AZ 86305
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1205309812 (928) 277-0875
Cep America-California
145 mi
Emergency Medicine
250 N 1ST ST
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1710826581 (760) 922-4115
Southern California Permanente Medical Group
269 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 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 6

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

ADJUST TO HEALTH, INC
Chiropractor
6546 E 2ND ST STE C
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 772-4044
ADVANTAGE PRIMARY HEALTH LLC
Nurse Practitioner (Family)
6546 E 2ND ST STE C
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 327-7528
ANNA HANUS CA
Massage Therapist
6546 E 2ND ST STE C
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 772-4044
ADVANTAGE PRIMARY HEALTH LLC
Nurse Practitioner (Primary Care)
6546 E 2ND ST STE C
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 899-3461
CHRISTOPHER ROSS
Massage Therapist
6546 E 2ND ST STE C
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 442-6115
LYNNE MARIE BEESON COIT LMT
Massage Therapist
6546 E 2ND ST STE C
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 772-4044

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 Jeremy Pene's NPI number?

The NPI number for Jeremy Pene is 1184960403. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Jeremy Pene located?

Jeremy Pene practices at 6546 E 2nd St Ste C, Prescott Valley, AZ 86314. The listed phone number is (928) 327-7528.

What is Jeremy Pene's specialty?

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

Is Jeremy Pene enrolled in Medicare?

Yes. Jeremy Pene 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 organizations bill Medicare for Jeremy Pene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Pene reassigns Medicare benefits to 5 organizations: Advantage Primary Health LLC (Prescott Valley, AZ), Exceptional Physicians Group Prescott Hospital PLLC (Prescott, AZ), Priority Family Medical Clinic LLC (Prescott, AZ), Cep America-California (Blythe, CA) and Southern California Permanente Medical Group (Hemet, CA). Each 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 Jeremy Pene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Pene accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Jeremy Pene 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 Jeremy Pene was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.