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JAMIE LYNN PETERSEN
NPI 1407318819
Speech-Language Pathologist in Mesa, AZ

Active since April 03, 2019
1400 S DOBSON RD, MESA, AZ 85202(480) 412-7724 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jamie Lynn Petersen NPPES

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

JAMIE LYNN PETERSEN (NPI 1407318819) is an individual speech-language pathologist provider in Mesa, Arizona, licensed in Arizona (SLP10183) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1407318819
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJAMIE LYNN PETERSEN
Location Address1400 S DOBSON RDMesa, AZ 85202-4707
Mailing Address1400 S Dobson RdMesa, AZ 85202-4707
Phone(480) 412-7724
Sole ProprietorNo
Enumeration DateApril 3, 2019
✔ NPI 1407318819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · SLP10183
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1400 S DOBSON RD, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Lynn Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Bhsm Rehabilitation, LLC
1.1 mi
Physical Therapy
1255 W BASELINE RD STE 140
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 349 clinicians in this Medicare group
NPI 1316462369 (480) 820-7675

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

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.

VIREN PATEL PHARMD
Pharmacist
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-4250
DR. EMMANUEL A BAYONGAN M.D.
Internal Medicine (Critical Care Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. HEATHER ANNE LEINBACH PHARMD
Pharmacist (Pharmacotherapy)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-5616
DRAKE HERRING RRA
Radiology Practitioner Assistant
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-3773
SAVANNAH BABCOCK
Registered Nurse
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000
DR. HOLLY MCDANIEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 685-5211
CHARLES H PSHAENICH MD
Emergency Medicine
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 456-9500
MADHURI KASHYAP MD
Emergency Medicine (Pediatric Emergency Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000

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 Jamie Petersen's NPI number?

The NPI number for Jamie Petersen is 1407318819. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Jamie Petersen located?

Jamie Petersen practices at 1400 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 412-7724.

What is Jamie Petersen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jamie Petersen enrolled in Medicare?

Yes. Jamie Petersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamie Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Petersen reassigns Medicare benefits to Bhsm Rehabilitation, LLC (Mesa, 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 Jamie Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Petersen accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Jamie Petersen 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 Jamie Petersen was last updated on April 3, 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.