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RAELYN JAMISON
NPI 1689401457
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since September 17, 2024PECOS Enrolled
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR, PHOENIX, AZ 85004(602) 496-0907 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Sep 17, 2024 (2 updates tracked since 2024).

About Raelyn Jamison NPPES

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

RAELYN JAMISON (NPI 1689401457) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (233166) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689401457
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRAELYN JAMISON
Location Address550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOORPhoenix, AZ 85004
Mailing Address550 N 3rd StPhoenix, AZ 85004-2154
Phone(602) 496-0907
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 17, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1689401457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · 233166
550 N 3RD STREET, Phoenix, AZ 85004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raelyn Jamison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951882778
PECOS Enrollment IDI20260219003482
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 85004 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.

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.

KYLEE FAWCETT
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004
Maricopa County (602) 496-0907
ANNA RAYBOULD
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004
Maricopa County (602) 496-0907
BROOKE KING
Nurse Practitioner (Women's Health)
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004
Maricopa County (602) 496-0907
GIA BIANCA QUINTERO
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
SCOTTSDALE, AZ 85004
Maricopa County (602) 496-0907
CATALINA ORTIZ FERNANDEZ
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004
Maricopa County (602) 496-0907
ANISSA MARIE LOPEZ
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIZ, AZ 85004
Maricopa County (602) 496-0907
NAOMI LIZAMA
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004
Maricopa County (602) 616-4977
LONDON ASHLEY AUSTER
Student in an Organized Health Care Education/Training Program
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004
Maricopa County (602) 496-0907

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 Raelyn Jamison's NPI number?

The NPI number for Raelyn Jamison is 1689401457. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Raelyn Jamison located?

Raelyn Jamison practices at 550 N 3rd Street Health North Building, 3rd Floor, Phoenix, AZ 85004. The listed phone number is (602) 496-0907.

What is Raelyn Jamison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Raelyn Jamison enrolled in Medicare?

Yes. Raelyn Jamison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raelyn Jamison was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.