JARED BRINK PMHNP-BC
NPI 1306417258
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Jared Brink's NPI number?

The NPI number for Jared Brink is 1306417258. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Jared Brink's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jared Brink was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment

16620 N 40TH ST STE E1, PHOENIX, AZ 85032(602) 464-9576 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2024, Sep 20, 2022, Jan 4, 2022 and 2 more (5 updates tracked since 2021).

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About Jared Brink Pmhnp-bc NPPES

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

JARED BRINK PMHNP-BC (NPI 1306417258) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (260271) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306417258

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJARED BRINKCredential: PMHNP-BC

Location Address16620 N 40TH ST STE E1Phoenix, AZ 85032-3357

Mailing Address16620 N 40th St Ste E1Phoenix, AZ 85032-3357 · (602) 464-9576 · Fax (602) 646-8901

Phone(602) 464-9576

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 1, 2021

Last NPPES UpdateJuly 18, 20255 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1306417258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 260271

16620 N 40TH ST STE E1, Phoenix, AZ 85032

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Secondary Practice Locations 2

Location 12550 W Union Hills Dr Ste 350Phoenix, AZ 85027-5187 · Phone (623) 295-9026

Location 213331 W Indian School Rd Ste B203Litchfield Park, AZ 85340-4340 · Phone (623) 269-3990

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.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

Jared Brink Pmhnp-bc 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 ID6709276611

PECOS Enrollment IDI20211208003376

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

Medicare enrollment records show Jared Brink reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunscape Investment LLC

6.8 mi

Psychiatric/Mental Health

2550 W UNION HILLS DR STE 350
Phoenix, AZ 85027

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1154003184 (623) 295-9026

Fulton & Fulton LLC

17 mi

Community Health

560 W BROWN RD STE 1011
Mesa, AZ 85201

Reassigned Medicare billing, Arizona enrollment
8 clinicians in this Medicare group

NPI 1790384014 (480) 509-7738

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

107 services17 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

105 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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 6

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

MRS. ADLIN MORALES AGUILU LCSW

Social Worker (Clinical)