MS. JADE MARIE VINATIERI FNP-BC
NPI 1346047339
Dermatology in Lake Havasu City, AZ

Active since February 26, 2025PECOS Enrolled
2091 SMOKETREE AVE N STE 103, LAKE HAVASU CITY, AZ 86403(928) 453-3332 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jade Marie Vinatieri Fnp-bc NPPES

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

MS. JADE MARIE VINATIERI FNP-BC (NPI 1346047339) is an individual dermatology provider in Lake Havasu City, Arizona, licensed in Arizona (267114) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346047339
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMS. JADE MARIE VINATIERICredential: FNP-BC
Location Address2091 SMOKETREE AVE N STE 103Lake Havasu City, AZ 86403-5896
Mailing Address5210 N Valle DoradoKingman, AZ 86409-1599 · (928) 530-9783
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1346047339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 267114
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2091 SMOKETREE AVE N STE 103, Lake Havasu City, AZ 86403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jade Marie Vinatieri Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799290789
PECOS Enrollment IDI20250717002679
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 86403 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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

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

Nurse Practitioner (Family)
2091 SMOKETREE AVE N STE 103
LAKE HAVASU CITY, AZ 86403

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 Jade Vinatieri's NPI number?

The NPI number for Jade Vinatieri is 1346047339. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Where is Jade Vinatieri located?

Jade Vinatieri practices at 2091 Smoketree Ave N Ste 103, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-3332.

What is Jade Vinatieri's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jade Vinatieri enrolled in Medicare?

Yes. Jade Vinatieri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jade Vinatieri was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.