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

Q: 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.

Q: What is Raelyn Jamison's specialty?

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

Q: 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 8 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.

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: October 18, 2026.

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

On this page

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, maintains a secondary practice location in Phoenix, 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

Open in Google Maps ↗

Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-0935 · Fax (602) 933-2471

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Raelyn Jamison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital

3.0 mi

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

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 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 C FAWCETT NP

Nurse Practitioner

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

VICTORIA JOHNSTON

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

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

CRYSTAL ANNETTE NEVAREZ

Student in an Organized Health Care Education/Training Program

550 N 3RD STREET, LINE 2: HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX, AZ 85004

Maricopa County (602) 496-0907

VIRGINIA TIFFANY KERBY

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

MEGHAN MARSH

Student in an Organized Health Care Education/Training Program

550 N 3RD STREET
PHOENIX, AZ 85004

Maricopa County (602) 496-0907

KATRINA ANGELINE MOTT

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

SANDRA STEPHENSON

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

JENNIFER LYNN KRAMER

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

MRS. SHAREE B TUNNEY RN

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

ALEXA EASLEY

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

PACIFIC BLOOM

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

DAVID ANTONIO GOMEZ

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

AUDREY GRACE PISANI

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.

Which organization bills Medicare for Raelyn Jamison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raelyn Jamison reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The 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 Raelyn Jamison'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 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 8 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.