DR. JEFFREY A NEBELSIECK MD
NPI 1396721965
Specialist in Phoenix, AZ

Active since December 15, 2005PECOS Enrolled
5.94/100
CMS Quality Rating
3333 E CAMELBACK RD STE 122, PHOENIX, AZ 85018(602) 522-1900(602) 381-3281 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeffrey A Nebelsieck Md NPPES

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

DR. JEFFREY A NEBELSIECK MD (NPI 1396721965) is an individual specialist in Phoenix, Arizona, licensed in Arizona (28595) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Bonner General Hospital, and is a graduate of Hahnemann University College Of Medicine (1998).

NPPES Registry Identity

NPI1396721965
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JEFFREY A NEBELSIECKCredential: MD
Location Address3333 E CAMELBACK RD STE 122Phoenix, AZ 85018-2323
Mailing Address3333 E Camelback Rd, Ste 122Phoenix, AZ 85018-2323 · (602) 522-1900 · Fax (602) 381-3281
Fax(602) 381-3281
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1998
Enumeration DateDecember 15, 2005
Last NPPES UpdateMarch 25, 2019
✔ NPI 1396721965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 28595
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3333 E CAMELBACK RD STE 122, Phoenix, AZ 85018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey A Nebelsieck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759575244
PECOS Enrollment IDI20101028000897
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 Reassignment

Medicare enrollment records show Jeffrey Nebelsieck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3333 E CAMELBACK RD, SUITE 122
Phoenix, AZ 85018
  • Reassigned Medicare billing, Arizona enrollment
  • 8 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 46

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
20,400 services11 patients
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.
1,355 services858 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,020 services740 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
975 services736 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
929 services736 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
794 services698 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

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.

5.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost19.8

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers32 claims80 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims22 services$0.87 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims62 services$1.76 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims21 services$27.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$67.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
3333 E CAMELBACK RD STE 122
PHOENIX, AZ 85018
Internal Medicine
3333 E CAMELBACK RD STE 122
PHOENIX, AZ 85018
Nurse Practitioner (Family)
3333 E CAMELBACK RD STE 122
PHOENIX, AZ 85018

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 Jeffrey Nebelsieck's NPI number?

The NPI number for Jeffrey Nebelsieck is 1396721965. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Jeffrey Nebelsieck located?

Jeffrey Nebelsieck practices at 3333 E Camelback Rd Ste 122, Phoenix, AZ 85018. The listed phone number is (602) 522-1900.

What is Jeffrey Nebelsieck's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeffrey Nebelsieck enrolled in Medicare?

Yes. Jeffrey Nebelsieck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Nebelsieck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Nebelsieck reassigns Medicare benefits to Internal Medicine Of Arizona PC (Phoenix, AZ). The 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 Jeffrey Nebelsieck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffrey Nebelsieck affiliated with any hospitals?

According to CMS data, Jeffrey Nebelsieck is affiliated with Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Nebelsieck was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.