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LASHAUNDA RENEE JETHRO PMHNP, DNP
NPI 1497325187
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since June 25, 2021PECOS EnrolledAccepts Medicare Assignment
4290 POLK AVE, SAN DIEGO, CA 92105(619) 563-0250(858) 633-4681 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2021, Jun 25, 2021 (2 updates tracked since 2021).

About Lashaunda Renee Jethro Pmhnp, Dnp NPPES

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

LASHAUNDA RENEE JETHRO PMHNP, DNP (NPI 1497325187) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP95017852) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497325187
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLASHAUNDA RENEE JETHROCredential: PMHNP, DNP
Location Address4290 POLK AVESan Diego, CA 92105-1524
Mailing Address31378 Brush Creek CirTemecula, CA 92591-7418 · (618) 789-1081
Phone(619) 563-0250
Fax(858) 633-4681
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 25, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1497325187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95017852
Also ListedRegistered NurseTaxonomy 163W00000X · License 95127420 (CA)
4290 POLK AVE, San Diego, CA 92105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Lashaunda Renee Jethro Pmhnp, Dnp 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 ID3577968049
PECOS Enrollment IDI20221021000315
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 Reassignments

4

Medicare enrollment records show Lashaunda Jethro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Help Administrative Services Inc
3.5 mi
Psychologist
3636 4TH AVE STE 304
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1629875273 (858) 481-8827
Fusion Care Group, A Psychological Professional Corporation
20 mi
Clinical
2271 ALPINE BLVD STE A
Alpine, CA 91901
  • Reassigned Medicare billing, California enrollment
  • 92 clinicians in this Medicare group
NPI 1275177982 (619) 448-1216
Medi Psych Services Inc
125 mi
Child & Adolescent Psychiatry
15260 VENTURA BLVD STE 1200
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1326665316 (310) 871-0670
Psychiatric Nursing Consultant PC
471 mi
Nursing Care
1401 21ST ST STE R
Sacramento, CA 95811
  • Reassigned Medicare billing, California enrollment
NPI 1215666847 (619) 914-6780

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 92105 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

DIANA MARQUARDT MD
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
MARTHA ASUNCION IBARRA
Nurse Practitioner
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
DR. JENNIFER LYNN POAST D.O.
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
JAMIE MORRISON ALEXANDER PA-C
Physician Assistant
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
LORRIE STROHECKER MD
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
SAN DIEGO FAMILY CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
MS. MAYA DENISE WALLS RN
Registered Nurse
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (691) 563-0507
DR. STEPHANIE P SALO PSYD
Psychologist (Clinical)
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (858) 247-2566

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 Lashaunda Jethro's NPI number?

The NPI number for Lashaunda Jethro is 1497325187. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Lashaunda Jethro located?

Lashaunda Jethro practices at 4290 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 563-0250.

What is Lashaunda Jethro's specialty?

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

Is Lashaunda Jethro enrolled in Medicare?

Yes. Lashaunda Jethro 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 organizations bill Medicare for Lashaunda Jethro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lashaunda Jethro reassigns Medicare benefits to 4 organizations: Help Administrative Services Inc (San Diego, CA), Fusion Care Group, A Psychological Professional Corporation (Alpine, CA), Medi Psych Services Inc (Sherman Oaks, CA) and Psychiatric Nursing Consultant PC (Sacramento, CA). Each 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 Lashaunda Jethro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lashaunda Jethro accept?

Health plans from UnitedHealthcare list Lashaunda Jethro 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 Lashaunda Jethro was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.