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MRS. JETTA VALLE MSN, PMHNP, FNP
NPI 1720336910
Nurse Practitioner - Psychiatric/Mental Health in Queen Creek, AZ

Active since August 21, 2012PECOS Enrolled
21168 E OCOTILLO RD # 1271, QUEEN CREEK, AZ 85142(520) 677-8025(888) 205-9338 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2019, Jun 21, 2018 (2 updates tracked since 2018).

About Mrs. Jetta Valle Msn, Pmhnp, Fnp NPPES

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

MRS. JETTA VALLE MSN, PMHNP, FNP (NPI 1720336910) is an individual psychiatric/mental health provider in Queen Creek, Arizona, licensed in Arizona (AP10652) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Queen Creek.

NPPES Registry Identity

NPI1720336910
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JETTA VALLECredential: MSN, PMHNP, FNP
Location Address21168 E OCOTILLO RD # 1271Queen Creek, AZ 85142-8175
Mailing Address21168 E Ocotillo Rd # 1271Queen Creek, AZ 85142-8175 · (520) 677-8025 · Fax (888) 205-9338
Phone(520) 677-8025
Fax(888) 205-9338
Sole ProprietorYes
Enumeration DateAugust 21, 2012
Last NPPES UpdateAugust 24, 20252 updates tracked since enumeration
NPPES CertifiedAugust 24, 2025
✔ NPI 1720336910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · AP10652
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License AP10652 (AZ)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP10652 (AZ)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP10652 (AZ)
21168 E OCOTILLO RD # 1271, Queen Creek, AZ 85142
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Secondary Practice Location 1

Location 121168 E Ocotillo Rd # 1271Queen Creek, AZ 85142-8175 · Phone (606) 571-5117 · Fax (888) 205-9338

Other Identifiers 1

Medicaid204924AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jetta Valle Msn, Pmhnp, Fnp 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.

Medicare Billing Reassignments

3

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

Horizon Health & Wellness, Inc.
0.6 mi
Mental Health
22713 S ELLSWORTH RD BLDG A STE 101
Queen Creek, AZ 85142
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Horizon Health And Wellness, Inc.
  • 87 clinicians in this Medicare group
NPI 1235431271 (480) 474-5670
Good Health Medical, PLLC
1.8 mi
Family Medicine
22355 E. QUEEN CREEK RD. STE. 103-104
Queen Creek, AZ 85142
  • Reassigned Medicare billing, Arizona enrollment
  • 321 clinicians in this Medicare group
NPI 1972359727 (480) 677-8282
Dhhs, Phs, Naihs, Shiprock Hospital
262 mi
General Acute Care Hospital
NAVAJO ROUTE 19
Toadlena, NM 87324
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1952526337 (505) 368-6001

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 85142 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jetta Valle's NPI number?

The NPI number for Jetta Valle is 1720336910. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Jetta Valle located?

Jetta Valle practices at 21168 E Ocotillo Rd # 1271, Queen Creek, AZ 85142. The listed phone number is (520) 677-8025.

What is Jetta Valle's specialty?

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

Is Jetta Valle enrolled in Medicare?

Yes. Jetta Valle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jetta Valle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jetta Valle reassigns Medicare benefits to 3 organizations: Horizon Health & Wellness, Inc. (Queen Creek, AZ), Good Health Medical, PLLC (Queen Creek, AZ) and Dhhs, Phs, Naihs, Shiprock Hospital (Toadlena, NM). Each 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 Jetta Valle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jetta Valle accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Jetta Valle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jetta Valle was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.