MR. JONATHAN D FOSBRE NP-C
NPI 1306203195
Nurse Practitioner - Family in Glendale, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since January 25, 2016PECOS EnrolledAccepts Medicare Assignment

5891 W EUGIE AVE, GLENDALE, AZ 85304(602) 588-6725 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2016, Mar 22, 2016, Jan 25, 2016 (3 updates tracked since 2016).

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About Mr. Jonathan D Fosbre Np-c NPPES

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

MR. JONATHAN D FOSBRE NP-C (NPI 1306203195) is an individual family provider in Glendale, Arizona, licensed in Arizona (AP8420) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306203195

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JONATHAN D FOSBRECredential: NP-C

Location Address5891 W EUGIE AVEGlendale, AZ 85304-1252

Mailing Address5891 W Eugie AveGlendale, AZ 85304-1252 · (602) 588-6725

Phone(602) 588-6725

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 25, 2016

Last NPPES UpdateDecember 12, 20163 updates tracked since enumeration

✔ NPI 1306203195 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 · AP8420

5891 W EUGIE AVE, Glendale, AZ 85304

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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

Mr. Jonathan D Fosbre Np-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.

PECOS PAC ID6608174024

PECOS Enrollment IDI20220427001529, I20250523000907

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

95 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85304 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.