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JACK DELEONARDO PAC
NPI 1417068248
Physician Assistant in Phoenix, AZ

Active since August 31, 2006PECOS Enrolled
650 E INDIAN SCHOOL RD, DEPT VETERANS AFFAIRS, PHOENIX, AZ 85012(602) 277-5551 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jack Deleonardo Pac NPPES

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

JACK DELEONARDO PAC (NPI 1417068248) is an individual physician assistant in Phoenix, Arizona, licensed in Montana (196) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417068248
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK DELEONARDOCredential: PAC
Location Address650 E INDIAN SCHOOL RD, DEPT VETERANS AFFAIRSPhoenix, AZ 85012
Mailing Address2699 S 167th DrGoodyear, AZ 85338-7317 · (406) 927-2221
Phone(602) 277-5551
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 2, 2016
✔ NPI 1417068248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · 196
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
650 E INDIAN SCHOOL RD, Phoenix, AZ 85012
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Other Identifiers 8

Medicare PIN000083517MT
Medicare PIN1153260003MT
Other12355900WY · Mdcd Pin
Other092303MT · Bcbs Pin
Medicare PIN970009866MT
Other0433296MT · Mdcd Pin
Medicare PIN000081125MT
Medicare UPINS85148MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Deleonardo Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85012 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 20

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

MRS. KORENA AYN FINE RN
Registered Nurse
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 277-5551
MR. THOMAS ARROYO IV CNA
Nurse's Aide
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 277-5551
AMANDA NICOLE GODINEZ
Social Worker
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 757-3396
DONNA VAZIRNIA PHARMD
Pharmacist
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 277-5551
IONUT TIRSOREANU
Pharmacist
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 277-5551
MS. DEANN KAY HILDEBRANDT FNP
Nurse Practitioner (Family)
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 277-5551
DR. DANIELLE H HERNANDEZ PH.D.
Psychologist (Clinical)
650 E INDIAN SCHOOL RD, 116B
PHOENIX, AZ 85012
Maricopa County (602) 277-5551
DEPARTMENT OF VETERANS AFFAIRS
Military Hospital
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
Maricopa County (602) 277-5551

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 Jack Deleonardo's NPI number?

The NPI number for Jack Deleonardo is 1417068248. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jack Deleonardo located?

Jack Deleonardo practices at 650 E Indian School Rd Dept Veterans Affairs, Phoenix, AZ 85012. The listed phone number is (602) 277-5551.

What is Jack Deleonardo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jack Deleonardo enrolled in Medicare?

Yes. Jack Deleonardo is registered in the Medicare PECOS enrollment system.

What insurance does Jack Deleonardo accept?

Health plans from Blue Cross and Blue Shield of Texas list Jack Deleonardo 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 Jack Deleonardo was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.