JEZZELL PRIME SANCHEZ NP
NPI 1639929474
Nurse Practitioner - Gerontology in Duarte, CA

Q: What is Jezzell Prime Sanchez's NPI number?

The NPI number for Jezzell Prime Sanchez is 1639929474. It was assigned to this individual provider in the NPPES registry on March 25, 2024. The provider is also known as Jezzell Prime Salontoy Badanguio.

Q: What is Jezzell Prime Sanchez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since March 25, 2024PECOS EnrolledAccepts Medicare Assignment

1500 DUARTE RD, DUARTE, CA 91010(800) 826-4673 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jezzell Prime Sanchez Np NPPES

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

JEZZELL PRIME SANCHEZ NP (NPI 1639929474) is an individual gerontology provider in Duarte, California, licensed in California (95028727) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639929474

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameJEZZELL PRIME SANCHEZCredential: NP

Location Address1500 DUARTE RDDuarte, CA 91010-3012

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185

Phone(800) 826-4673

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 25, 2024

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1639929474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CA · 95028727

1500 DUARTE RD, Duarte, CA 91010

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Other Names 1

Former Name (1)Jezzell Prime Salontoy Badanguio

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jezzell Prime Sanchez Np 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 ID5193254936

PECOS Enrollment IDI20250123003661

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 91010 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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