JAMIE PEMBERTON
NPI 1487318515
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ

Q: What is Jamie Pemberton's NPI number?

The NPI number for Jamie Pemberton is 1487318515. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Q: What is Jamie Pemberton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Pemberton was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 25, 2021PECOS EnrolledAccepts Medicare Assignment

14441 W MCDOWELL RD STE B102, GOODYEAR, AZ 85395(480) 516-8037 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jamie Pemberton NPPES

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

JAMIE PEMBERTON (NPI 1487318515) is an individual psychiatric/mental health provider in Goodyear, Arizona, licensed in Arizona (268115) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487318515

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJAMIE PEMBERTON

Location Address14441 W MCDOWELL RD STE B102Goodyear, AZ 85395-2519

Mailing Address500 N Estrella Pkwy # B2-204Goodyear, AZ 85338-4135

Phone(480) 516-8037

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 25, 2021

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1487318515 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 AZ · 268115

14441 W MCDOWELL RD STE B102, Goodyear, AZ 85395

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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, Cigna HealthCare of Arizona, 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 and accepts Medicare assignment

Jamie Pemberton 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 ID3173054277

PECOS Enrollment IDI20240930003887

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 Jamie Pemberton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Bridges, Inc.

5.6 mi

Community/Behavioral Health

824 N 99TH AVE STE 108
Avondale, AZ 85323

Reassigned Medicare billing, Arizona enrollment
131 clinicians in this Medicare group

NPI 1972364966 (623) 907-1457

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 85395 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 7

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

LUMINA MIND AND WELLNESS INC

Psychiatry & Neurology (Psychiatry)