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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA TIFFANY CHAVEZ PMHNP-BC
NPI 1205284866
Nurse Practitioner - Psychiatric/Mental Health in Redlands, CA

Active since May 24, 2016PECOS Enrolled
1901 ORANGE TREE LN STE 110, REDLANDS, CA 92374(909) 966-9500 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 29, 2026, Nov 16, 2025, Jul 12, 2018 and 1 more (4 updates tracked since 2017).

About Jessica Tiffany Chavez Pmhnp-bc NPPES

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

JESSICA TIFFANY CHAVEZ PMHNP-BC (NPI 1205284866) is an individual psychiatric/mental health provider in Redlands, California, licensed in California (95036753) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205284866
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA TIFFANY CHAVEZCredential: PMHNP-BC
Location Address1901 ORANGE TREE LN STE 110Redlands, CA 92374-4564
Mailing Address1901 Orange Tree Ln Ste 110Redlands, CA 92374-4564 · (909) 966-9500
Phone(909) 966-9500
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 24, 2016
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1205284866 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 CA · 95036753
1901 ORANGE TREE LN STE 110, Redlands, CA 92374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Tiffany Chavez Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981160207
PECOS Enrollment IDI20260728001040
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 Jessica Chavez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

David Desai MD Inc
Same address
Psychiatry
1030 NEVADA ST STE 101
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1174901128 (909) 966-5500

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 92374 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

KAYLA CHANDLER
Nurse Practitioner (Psychiatric/Mental Health)
1901 ORANGE TREE LN STE 110
REDLANDS, CA 92374
San Bernardino County (909) 966-5500

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 Chavez's NPI number?

The NPI number for Jessica Chavez is 1205284866. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Jessica Chavez located?

Jessica Chavez practices at 1901 Orange Tree Ln Ste 110, Redlands, CA 92374. The listed phone number is (909) 966-9500.

What is Jessica Chavez's specialty?

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

Is Jessica Chavez enrolled in Medicare?

Yes. Jessica Chavez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Chavez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Chavez reassigns Medicare benefits to David Desai MD Inc (Redlands, CA). 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 Jessica Chavez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Chavez was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.