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JESUS J JUSTINIANO FNP
NPI 1649095795
Nurse Practitioner - Family in Mesa, AZ

Active since November 22, 2024PECOS EnrolledAccepts Medicare Assignment
6710 E UNIVERSITY DR UNIT 164, MESA, AZ 85205(480) 709-3375 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jesus J Justiniano Fnp NPPES

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

JESUS J JUSTINIANO FNP (NPI 1649095795) is an individual family provider in Mesa, Arizona, licensed in Arizona (236829) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649095795
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESUS J JUSTINIANOCredential: FNP
Location Address6710 E UNIVERSITY DR UNIT 164Mesa, AZ 85205-7660
Mailing Address6710 E University Dr Unit 164Mesa, AZ 85205-7660 · (480) 709-3375
Phone(480) 709-3375
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
✔ NPI 1649095795 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 AZ · 236829
6710 E UNIVERSITY DR UNIT 164, Mesa, AZ 85205
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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

Jesus J Justiniano Fnp 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 ID8325575152
PECOS Enrollment IDI20241218001632
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

3

Medicare enrollment records show Jesus Justiniano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Urgent Care Services, LLC
16 mi
Urgent Care
35945 N GARY RD
San Tan Valley, AZ 85143
  • Reassigned Medicare billing, Arizona enrollment
  • 184 clinicians in this Medicare group
NPI 1942653019 (480) 222-0112
Banner Urgent Care Arizona LLC
37 mi
Urgent Care
1676 E MCMURRAY BLVD STE 1
Casa Grande, AZ 85122
  • Reassigned Medicare billing, Arizona enrollment
  • 171 clinicians in this Medicare group
NPI 1316349855 (520) 316-0688
Monogram Health Professional Services PC
1,423 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Arizona enrollment
  • 67 clinicians in this Medicare group
NPI 1952917122 (615) 465-8684

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 85205 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Jesus Justiniano's NPI number?

The NPI number for Jesus Justiniano is 1649095795. It was assigned to this individual provider in the NPPES registry on November 22, 2024.

Where is Jesus Justiniano located?

Jesus Justiniano practices at 6710 E University Dr Unit 164, Mesa, AZ 85205. The listed phone number is (480) 709-3375.

What is Jesus Justiniano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jesus Justiniano enrolled in Medicare?

Yes. Jesus Justiniano 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 Jesus Justiniano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesus Justiniano reassigns Medicare benefits to 3 organizations: Banner Urgent Care Services, LLC (San Tan Valley, AZ), Banner Urgent Care Arizona LLC (Casa Grande, AZ) and Monogram Health Professional Services PC (Brentwood, TN). 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 Jesus Justiniano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesus Justiniano was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.