DR. JESSEE TIANA TANASIUK MD
NPI 1568351609
Student in an Organized Health Care Education/Training Program in Surprise, AZ

Active since July 02, 2025PECOS Enrolled
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jessee Tiana Tanasiuk Md NPPES

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

DR. JESSEE TIANA TANASIUK MD (NPI 1568351609) is an individual student in an organized health care education/training program in Surprise, Arizona and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568351609
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSEE TIANA TANASIUKCredential: MD
Location Address13995 W STATLER BLVD STE 200Surprise, AZ 85374-5503
Mailing Address13995 W Statler Blvd Ste 200Surprise, AZ 85374-5503 · (602) 478-3100
Sole ProprietorNo
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1568351609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

13995 W STATLER BLVD STE 200, Surprise, AZ 85374

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jessee Tiana Tanasiuk Md 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.

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.

Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Family Medicine
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Family Medicine (Sports Medicine)
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374

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 Jessee Tanasiuk's NPI number?

The NPI number for Jessee Tanasiuk is 1568351609. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Jessee Tanasiuk located?

Jessee Tanasiuk practices at 13995 W Statler Blvd Ste 200, Surprise, AZ 85374. The listed phone number is (602) 478-3100.

What is Jessee Tanasiuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessee Tanasiuk enrolled in Medicare?

Yes. Jessee Tanasiuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessee Tanasiuk was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.