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JACK PATRICK HARTNETT MD
NPI 1710724976
Internal Medicine in Phoenix, AZ

Active since July 13, 2024PECOS Enrolled
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 342-2000 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 13, 2024 (2 updates tracked since 2024).

About Jack Patrick Hartnett Md NPPES

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

JACK PATRICK HARTNETT MD (NPI 1710724976) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (R81096) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710724976
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACK PATRICK HARTNETTCredential: MD
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address17950 N 68th St Apt 1073Phoenix, AZ 85054-4184
Phone(480) 342-2000
Sole ProprietorNo
Enumeration DateJuly 13, 2024
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1710724976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · R81096
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5777 E MAYO BLVD, Phoenix, AZ 85054
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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)

Jack Patrick Hartnett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85054 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

MEAGAN ELIZABETH TIBBO M.D.
Orthopaedic Surgery
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 515-6296
MISS AMY LETICIA BROWN PA-C
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
KRISTINA YANCEY
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-2000
KATHERINE ANNE LESPRON LMSW
Social Worker
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-4005
KASSANDRA HYDE APRN
Clinical Nurse Specialist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-3962
DIANA M BUI M.D.
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
JENNIFER S PALERMO P.A.
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
ALICIA CHEN M.D.
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000

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 Jack Hartnett's NPI number?

The NPI number for Jack Hartnett is 1710724976. It was assigned to this individual provider in the NPPES registry on July 13, 2024.

Where is Jack Hartnett located?

Jack Hartnett practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 342-2000.

What is Jack Hartnett's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Hartnett enrolled in Medicare?

Yes. Jack Hartnett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Hartnett was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.