DR. JOHN PAULO BATUCAN BAUTISTA DNP, APRN, AGACNP-BC
NPI 1366907602
Nurse Practitioner - Acute Care in Tempe, AZ

Active since January 31, 2019PECOS EnrolledAccepts Medicare Assignment
4515 S MCCLINTOCK DR STE 120, TEMPE, AZ 85282(480) 704-3700 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2022, Jan 31, 2019 (2 updates tracked since 2019).

About Dr. John Paulo Batucan Bautista Dnp, Aprn, Agacnp-bc NPPES

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

DR. JOHN PAULO BATUCAN BAUTISTA DNP, APRN, AGACNP-BC (NPI 1366907602) is an individual acute care provider in Tempe, Arizona, licensed in Arizona (AP11735) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366907602
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDR. JOHN PAULO BATUCAN BAUTISTACredential: DNP, APRN, AGACNP-BC
Location Address4515 S MCCLINTOCK DR STE 120Tempe, AZ 85282-7381
Mailing Address525 W Brown Rd Fl 7Mesa, AZ 85201-3202 · (480) 684-8350
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 31, 2019
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1366907602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · AP11735
Also ListedRegistered NurseTaxonomy 163W00000X · License RN165012 (AZ)
4515 S MCCLINTOCK DR STE 120, Tempe, AZ 85282

Accepted 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

Dr. John Paulo Batucan Bautista Dnp, Aprn, Agacnp-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 ID8729321922
PECOS Enrollment IDI20190509001530
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

2

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

Pulmonary Disease
3155 E SOUTHERN AVE STE 103
Mesa, AZ 85204
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group

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

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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85282 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
29%65 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
9%22 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 31 patients
0%31 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%33 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 26 patients
Patients totalRate: 0% · 26 patients
0%26 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Chiropractor (Rehabilitation)
4515 S MCCLINTOCK DR STE 120
TEMPE, AZ 85282
Behavior Analyst
4515 S MCCLINTOCK DR STE 120
TEMPE, AZ 85282

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 John Paulo Bautista's NPI number?

The NPI number for John Paulo Bautista is 1366907602. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Where is John Paulo Bautista located?

John Paulo Bautista practices at 4515 S Mcclintock Dr Ste 120, Tempe, AZ 85282. The listed phone number is (480) 704-3700.

What is John Paulo Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Paulo Bautista enrolled in Medicare?

Yes. John Paulo Bautista 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 John Paulo Bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Paulo Bautista reassigns Medicare benefits to 2 organizations: Arizona Lung & Sleep Institute PLLC (Mesa, AZ) and Signify Health, LLC (Dallas, TX). 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 John Paulo Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Paulo Bautista accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list John Paulo Bautista 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 John Paulo Bautista was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.