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JEREMY LEE GIANZERO RN
NPI 1417218595
Nurse Practitioner - Family in San Tan Valley, AZ

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
783 E CHELSEA DR, SAN TAN VALLEY, AZ 85140(719) 238-5317 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2025, Aug 8, 2025 (2 updates tracked since 2025).

About Jeremy Lee Gianzero Rn NPPES

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

JEREMY LEE GIANZERO RN (NPI 1417218595) is an individual family provider in San Tan Valley, Arizona, licensed in Arizona (328243) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417218595
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY LEE GIANZEROCredential: RN
Location Address783 E CHELSEA DRSan Tan Valley, AZ 85140-5561
Mailing Address783 E Chelsea DrSan Tan Valley, AZ 85140-5561 · (719) 238-5317
Phone(719) 238-5317
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 5, 2012
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1417218595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 328243
Also ListedRegistered NurseTaxonomy 163W00000X · License 186628 (CO)
783 E CHELSEA DR, San Tan Valley, AZ 85140
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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

Jeremy Lee Gianzero Rn 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 ID4688163280
PECOS Enrollment IDI20251031003592
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 Jeremy Gianzero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fiesta Health Services LLC
21 mi
Physical Medicine & Rehabilitation
1303 S LONGMORE STE 8
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
NPI 1518382787 (480) 649-5297

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 85140 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.

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 Jeremy Gianzero's NPI number?

The NPI number for Jeremy Gianzero is 1417218595. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Jeremy Gianzero located?

Jeremy Gianzero practices at 783 E Chelsea Dr, San Tan Valley, AZ 85140. The listed phone number is (719) 238-5317.

What is Jeremy Gianzero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeremy Gianzero enrolled in Medicare?

Yes. Jeremy Gianzero 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 organization bills Medicare for Jeremy Gianzero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Gianzero reassigns Medicare benefits to Fiesta Health Services 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 Jeremy Gianzero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Gianzero was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.