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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JESSICA MARIE AGUNNAMANI PMHNP
NPI 1477426203
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since September 26, 2025PECOS Enrolled
3106 EASTMAN CT, RIVERSIDE, CA 92503(909) 289-4351 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jessica Marie Agunnamani Pmhnp NPPES

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

MRS. JESSICA MARIE AGUNNAMANI PMHNP (NPI 1477426203) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95013213) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477426203
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JESSICA MARIE AGUNNAMANICredential: PMHNP
Location Address3106 EASTMAN CTRiverside, CA 92503-5288
Mailing Address3106 Eastman CtRiverside, CA 92503-5288 · (909) 289-4351 · Fax (951) 329-9759
Phone(909) 289-4351
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2025
Last NPPES UpdateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1477426203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95013213
3106 EASTMAN CT, Riverside, CA 92503
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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 (PECOS)

Mrs. Jessica Marie Agunnamani Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810486982
PECOS Enrollment IDI20251029001751
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 Jessica Agunnamani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-State Community Healthcare Center
47 mi
Federally Qualified Health Center (FQHC)
11499 BARTLETT AVE
Adelanto, CA 92301
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
NPI 1508379017 (760) 444-4258

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 92503 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Jessica Agunnamani's NPI number?

The NPI number for Jessica Agunnamani is 1477426203. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Jessica Agunnamani located?

Jessica Agunnamani practices at 3106 Eastman Ct, Riverside, CA 92503. The listed phone number is (909) 289-4351.

What is Jessica Agunnamani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Agunnamani enrolled in Medicare?

Yes. Jessica Agunnamani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Agunnamani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Agunnamani reassigns Medicare benefits to Tri-State Community Healthcare Center (Adelanto, CA). 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 Jessica Agunnamani'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 Jessica Agunnamani was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.