KENNETH C JASMUND NP
NPI 1417563545
Nurse Practitioner in Scottsdale, AZ

Active since September 23, 2020PECOS EnrolledAccepts Medicare Assignment
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000(916) 636-4358 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2024, Oct 30, 2023, Jul 26, 2023 and 3 more (6 updates tracked since 2020).

About Kenneth C Jasmund Np NPPES

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

KENNETH C JASMUND NP (NPI 1417563545) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (246386) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417563545
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKENNETH C JASMUNDCredential: NP
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000 · Fax (916) 636-4358
Fax(916) 636-4358
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2020
Last NPPES UpdateApril 5, 20246 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1417563545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · 246386
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 246386 (AZ)
13400 E SHEA BLVD, Scottsdale, AZ 85259

Secondary Practice Location 1

Location 1500 W Thomas Rd Ste 850Phoenix, AZ 85013-4218 · Phone (602) 406-1150 · Fax (602) 406-1159

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth C Jasmund Np 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 ID9032539523
PECOS Enrollment IDI20201022001091
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
569 services448 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.
245 services232 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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.

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.

Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

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 Kenneth Jasmund's NPI number?

The NPI number for Kenneth Jasmund is 1417563545. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Kenneth Jasmund located?

Kenneth Jasmund practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Kenneth Jasmund's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kenneth Jasmund enrolled in Medicare?

Yes. Kenneth Jasmund 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.

When was this NPI record last updated?

The NPPES record for Kenneth Jasmund was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.