JESSICA DIVIS RD
NPI 1386222396
Dietitian, Registered in Phoenix, AZ

Q: What is Jessica Divis's NPI number?

The NPI number for Jessica Divis is 1386222396. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Jessica Divis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Divis was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 31, 2021Accepts Medicare Assignment

1920 E CAMBRIDGE AVE STE 201, PHOENIX, AZ 85006(602) 933-0935(602) 933-2471 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2026, Mar 31, 2021 (2 updates tracked since 2021).

On this page

About Jessica Divis Rd NPPES

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

JESSICA DIVIS RD (NPI 1386222396) is an individual dietitian, registered in Phoenix, Arizona, licensed in Arizona (86094146) and active in the NPI registry since March 2021. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1386222396

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJESSICA DIVISCredential: RD

Location Address1920 E CAMBRIDGE AVE STE 201Phoenix, AZ 85006-1462

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-0935

Fax(602) 933-2471

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 31, 2021

Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1386222396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 86094146

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1920 E CAMBRIDGE AVE STE 201, Phoenix, AZ 85006

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Other Identifiers 1

Other86094146AZ · Commison On Dietetic Registration

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Jessica Divis Rd 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 ID4688082308

PECOS Enrollment IDI20210419002028

Medicare Billing Reassignments

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

Phoenix Children's Hospital

0.1 mi

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

Am Nutrition Services

16 mi

Dietitian, Registered

18001 N 79TH AVE STE A12
Glendale, AZ 85308

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

NPI 1003011602 (623) 399-6825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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

$0.00 typical visit price

range $55.44 – $168.60

Typical copayment $0.00 (range $13.86 – $42.15)

Most-billed visit code NA

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 20

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

AUSTIN N DEHART MD

Otolaryngology (Pediatric Otolaryngology)