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JISMI THEEYATTUVELI NP
NPI 1285229534
Nurse Practitioner in Mesa, AZ

Active since March 08, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2022, Jul 21, 2021, Mar 8, 2021 (3 updates tracked since 2021).

About Jismi Theeyattuveli Np NPPES

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

JISMI THEEYATTUVELI NP (NPI 1285229534) is an individual nurse practitioner in Mesa, Arizona, licensed in Arizona (254316) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285229534
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJISMI THEEYATTUVELICredential: NP
Location Address51 S 48TH STMesa, AZ 85206-1250
Mailing Address4291 E Lexington AveGilbert, AZ 85234-0729 · (480) 310-8524
Phone(480) 832-8333
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 8, 2021
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1285229534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 254316
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 138064 (AZ)
51 S 48TH ST, Mesa, AZ 85206
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc..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

Jismi Theeyattuveli 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 ID446655625
PECOS Enrollment IDI20210826000869
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

4

Medicare enrollment records show Jismi Theeyattuveli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Veracian Healthcare Plc
6.8 mi
Internal Medicine
1301 S CRISMON RD
Mesa, AZ 85209
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1063647733 (480) 275-4998
District Medical Group, Inc
6.9 mi
Psychiatry
570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1437482544 (480) 344-2000
Pioneer Hospitalists, PLLC
12 mi
Internal Medicine
475 S DOBSON RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 120 clinicians in this Medicare group
NPI 1033177316 (480) 926-0170
Pain And Palliative Associates Of Arizona
22 mi
Pain Medicine
3811 E BELL RD STE 111
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
  • 71 clinicians in this Medicare group
NPI 1538723531 (602) 675-2585

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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,614 services390 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
271 services262 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
103 services94 patients

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.

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 3

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

SUNLAND HEALTH ASSOCIATES LLC
Skilled Nursing Facility
51 S 48TH ST
MESA, AZ 85206
Maricopa County (480) 832-8333
SUNLAND HEALTH ASSOCIATES LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
51 S 48TH ST
MESA, AZ 85206
Maricopa County (480) 832-8333
EMILEE SANDERS OTD, OTR
Occupational Therapist
51 S 48TH ST
MESA, AZ 85206
Maricopa County (480) 832-8333

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 Jismi Theeyattuveli's NPI number?

The NPI number for Jismi Theeyattuveli is 1285229534. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Jismi Theeyattuveli located?

Jismi Theeyattuveli practices at 51 S 48th St, Mesa, AZ 85206. The listed phone number is (480) 832-8333.

What is Jismi Theeyattuveli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jismi Theeyattuveli enrolled in Medicare?

Yes. Jismi Theeyattuveli 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 Jismi Theeyattuveli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jismi Theeyattuveli reassigns Medicare benefits to 4 organizations: Veracian Healthcare Plc (Mesa, AZ), District Medical Group, Inc (Mesa, AZ), Pioneer Hospitalists, PLLC (Chandler, AZ) and Pain And Palliative Associates Of Arizona (Phoenix, AZ). 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 Jismi Theeyattuveli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jismi Theeyattuveli accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Jismi Theeyattuveli 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 Jismi Theeyattuveli was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.