JENNA MARIE ORTIZ PMHNP
NPI 1699516484
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Jenna Ortiz's NPI number?

The NPI number for Jenna Ortiz is 1699516484. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Q: What is Jenna Ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Ortiz was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 June 05, 2024PECOS EnrolledAccepts Medicare Assignment

750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022(602) 230-7373(602) 218-6383 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Jun 5, 2024 (2 updates tracked since 2024).

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About Jenna Marie Ortiz Pmhnp NPPES

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

JENNA MARIE ORTIZ PMHNP (NPI 1699516484) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (308455) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Goodyear, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699516484

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNA MARIE ORTIZCredential: PMHNP

Location Address750 E THUNDERBIRD RD STE 1-3Phoenix, AZ 85022-5306

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 218-6383

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 5, 2024

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1699516484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 308455

750 E THUNDERBIRD RD STE 1-3, Phoenix, AZ 85022

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Secondary Practice Location 1

Location 113555 W McDowell Rd Ste 205Goodyear, AZ 85395-2626 · Phone (623) 295-1190

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

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

Jenna Marie Ortiz Pmhnp 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 ID8022557727

PECOS Enrollment IDI20240826003529

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 85022 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.

JULIE SEIFERT LPC

Counselor (Professional)