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 22 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: October 25, 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 Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

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

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.

Medicare Billing Reassignments

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

Denova Collaborative Health, LLC

Same address

Multi-Specialty

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

Reassigned Medicare billing, Arizona enrollment
282 clinicians in this Medicare group

NPI 1609420959 (602) 230-7373

Renewed Tranquility Plc

7.4 mi

Psychiatric/Mental Health

4539 N 22ND ST # 4834
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment

NPI 1396620522 (855) 432-5551

Leading Healthcare Specialist PLLC

12 mi

Internal Medicine

11295 N 99TH AVE APT 5-122
Peoria, AZ 85345

Reassigned Medicare billing, Arizona enrollment
29 clinicians in this Medicare group

NPI 1497390561 (623) 295-1190

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 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)