JESSE LAUREN PACK FNP-C
NPI 1255098075
Nurse Practitioner - Family in Mesa, AZ
About Jesse Lauren Pack Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE LAUREN PACK FNP-C (NPI 1255098075) is an individual family provider in Mesa, Arizona, licensed in Arizona (327183) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Jesse Lauren Pack 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesse Pack's NPI number?
The NPI number for Jesse Pack is 1255098075. It was assigned to this individual provider in the NPPES registry on November 29, 2021.
Where is Jesse Pack located?
Jesse Pack practices at 6242 E Arbor Ave Ste 118, Mesa, AZ 85206. The listed phone number is (602) 805-4914.
What is Jesse Pack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Pack enrolled in Medicare?
Yes. Jesse Pack 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 Jesse Pack accept?
Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Jesse Pack 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 Jesse Pack was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Jesse Lauren Pack, FNP-C · NPI 1255098075
Family physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since November 29, 2021.
## Identity
- **NPI:** 1255098075 (Entity type: Individual)
- **Enumerated:** November 29, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 327183 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6242 E ARBOR AVE STE 118, Mesa, AZ 85206-1309
- **Phone:** (602) 805-4914 · **Fax:** (602) 805-4917
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 15, 2025
- **Other identifiers:** Other 1139965 (TX); Other 327183 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1255098075) · Data from the CMS NPPES public registry.