JEANETTE LADANGA LY FNP-BC
NPI 1215411590
Nurse Practitioner - Family in Gilbert, AZ

Q: What is Jeanette Ly's NPI number?

The NPI number for Jeanette Ly is 1215411590. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Q: What is Jeanette Ly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeanette Ly was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 21, 2018PECOS Enrolled

2451 E BASELINE RD STE 100, GILBERT, AZ 85234(480) 304-5152(480) 603-4147 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 21, 2023, Sep 21, 2018 (2 updates tracked since 2018).

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About Jeanette Ladanga Ly Fnp-bc NPPES

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

JEANETTE LADANGA LY FNP-BC (NPI 1215411590) is an individual family provider in Gilbert, Arizona, licensed in Arizona (AP11601) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215411590

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEANETTE LADANGA LYCredential: FNP-BC

Location Address2451 E BASELINE RD STE 100Gilbert, AZ 85234-2467

Mailing Address9647 E Sharon DrScottsdale, AZ 85260-4495 · (702) 985-4647

Phone(480) 304-5152

Fax(480) 603-4147

Sole ProprietorNo

Enumeration DateSeptember 21, 2018

Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1215411590 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 · AP11601

2451 E BASELINE RD STE 100, Gilbert, AZ 85234

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Other Names 1

Former Name (1)Jeanette Villanueva Ladanga

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanette Ladanga Ly Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85234 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.