Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JESSICA FUENTES NP-C
NPI 1508396755
Nurse Practitioner - Family in Columbus, GA

Active since June 19, 2017PECOS Enrolled
4225 UNIVERSITY AVE, COLUMBUS, GA 31907(706) 507-8620(706) 568-2323 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Jun 19, 2017 (2 updates tracked since 2017).

About Jessica Fuentes Np-c NPPES

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

JESSICA FUENTES NP-C (NPI 1508396755) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN205535) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508396755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA FUENTESCredential: NP-C
Location Address4225 UNIVERSITY AVEColumbus, GA 31907-5679
Mailing Address9499 Forest Crown DrFortson, GA 31808-6965 · (706) 992-3311
Fax(706) 568-2323
Sole ProprietorNo
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1508396755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN205535
4225 UNIVERSITY AVE, Columbus, GA 31907

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Fuentes Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31907 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Specialist/Technologist (Athletic Trainer)
4225 UNIVERSITY AVE, ATTN: JULIO LLANOS - ATHLETICS
COLUMBUS, GA 31907
Specialist/Technologist (Athletic Trainer)
4225 UNIVERSITY AVE, ATTN: ATHLETICS
COLUMBUS, GA 31907
Family Medicine
4225 UNIVERSITY AVE, TUCKER HALL
COLUMBUS, GA 31907
Psychologist (Counseling)
4225 UNIVERSITY AVE, SCHUSTER CENTER, THIRD FLOOR
COLUMBUS, GA 31907
Psychologist
4225 UNIVERSITY AVE, SCHUSTERCENTER, THIRD FLOOR
COLUMBUS, GA 31907
Psychologist
4225 UNIVERSITY AVE, SCHUSTER CENTER, THIRD FLOOR
COLUMBUS, GA 31907
Psychologist (Counseling)
4225 UNIVERSITY AVE, SCHUSTER CENTER
COLUMBUS, GA 31907
Clinic/Center (Student Health)
4225 UNIVERSITY AVE, ATHLETICS LUMPKIN CENTER RM 124
COLUMBUS, GA 31907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508396755, enumerated as an "individual" on June 19, 2017.

The provider is located at 4225 UNIVERSITY AVE COLUMBUS, GA 31907 and the phone number is (706) 507-8620.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.