JESSICA MORTOLA DNP CRNA
NPI 1548070915
Nurse Anesthetist, Certified Registered in Lake Havasu City, AZ
About Jessica Mortola Dnp Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MORTOLA DNP CRNA (NPI 1548070915) is an individual nurse anesthetist, certified registered in Lake Havasu City, Arizona, licensed in Arizona (152003) and active in the NPI registry since January 2025. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jessica Mortola Dnp Crna 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jessica Mortola reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 132 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, Arizona and California enrollments
- 75 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 64 clinicians in this Medicare group
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 86403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
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 Mortola's NPI number?
The NPI number for Jessica Mortola is 1548070915. It was assigned to this individual provider in the NPPES registry on January 8, 2025.
Where is Jessica Mortola located?
Jessica Mortola practices at 101 Civic Center Ln, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-8185.
What is Jessica Mortola's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jessica Mortola enrolled in Medicare?
Yes. Jessica Mortola 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 Jessica Mortola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mortola reassigns Medicare benefits to 3 organizations: Northeastern Anesthesia PLLC (Sierra Vista, AZ), Valley Regional Anesthesia Associates Inc (Fresno, CA) and Green Anesthesia (Fairfield, 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 Jessica Mortola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Mortola accept?
Health plans from Blue Cross Blue Shield of Arizona list Jessica Mortola 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 Jessica Mortola was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Jessica Mortola, DNP CRNA · NPI 1548070915
Nurse Anesthetist, Certified Registered physician in Lake Havasu City, Arizona. Individual provider, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1548070915 (Entity type: Individual)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 152003 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 CIVIC CENTER LN, Lake Havasu City, AZ 86403-5683
- **Phone:** (928) 855-8185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northeastern Anesthesia PLLC (NPI 1487956504, Sierra Vista, AZ); Valley Regional Anesthesia Associates Inc (NPI 1578272415, Fresno, CA); Green Anesthesia (NPI 1457039331, Fairfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548070915) · Data from the CMS NPPES public registry.