JONATHAN PRINCIOTTA
NPI 1215476064
Nurse Practitioner - Pediatrics, Critical Care in Jackson, MS

Q: What is Jonathan Princiotta's NPI number?

The NPI number for Jonathan Princiotta is 1215476064. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Q: What is Jonathan Princiotta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Active since February 13, 2017PECOS Enrolled

2500 N STATE ST, 2500 NORTH STATE STREET, JACKSON, MS 39216(601) 815-6960 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2017, Feb 13, 2017 (2 updates tracked since 2017).

On this page

About Jonathan Princiotta NPPES

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

JONATHAN PRINCIOTTA (NPI 1215476064) is an individual pediatrics, critical care provider in Jackson, Mississippi, licensed in Mississippi (901958) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215476064

Entity TypeIndividualMale

Primary Taxonomy363LP0222X

Provider Legal NameJONATHAN PRINCIOTTA

Location Address2500 N STATE ST, 2500 NORTH STATE STREETJackson, MS 39216-4500

Mailing Address510 Pinebark CvBrandon, MS 39047-4447 · (228) 238-9187

Phone(601) 815-6960

Sole ProprietorNo

Enumeration DateFebruary 13, 2017

Last NPPES UpdateApril 5, 20172 updates tracked since enumeration

✔ NPI 1215476064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in MS · 901958

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN562623YJ5DMS

Medicaid05103351MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Princiotta 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 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)