Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNICA LINES NP
NPI 1730741208
Nurse Practitioner - Family in Gilbert, AZ

Q: What is Jennica Lines's NPI number?

The NPI number for Jennica Lines is 1730741208. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Q: What is Jennica Lines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Jennica Lines enrolled in Medicare?

No. Jennica Lines has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jennica Lines was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 July 03, 2019Opted out of Medicare · through Apr 1, 2028

2487 S GILBERT RD # 106-123, GILBERT, AZ 85295(480) 256-2696 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2026, Mar 17, 2020, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

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About Jennica Lines Np NPPES

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

JENNICA LINES NP (NPI 1730741208) is an individual family provider in Gilbert, Arizona, licensed in Arizona (28861) and active in the NPI registry since July 2019. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730741208

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNICA LINESCredential: NP

Location Address2487 S GILBERT RD # 106-123Gilbert, AZ 85295-8899

Mailing Address2487 S Gilbert Rd # 106-123Gilbert, AZ 85295-8899 · (480) 256-2696

Phone(480) 256-2696

Sole ProprietorYes

Enumeration DateJuly 3, 2019

Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1730741208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · 28861✔ Licensed in NM · 56879

Also ListedRegistered NurseTaxonomy 163W00000X · License RN-87926 (NM), RN176538 (AZ)

2487 S GILBERT RD # 106-123, Gilbert, AZ 85295

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jennica Lines Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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.

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 Jennica Lines's NPI number?

The NPI number for Jennica Lines is 1730741208. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Jennica Lines located?

Jennica Lines practices at 2487 S Gilbert Rd # 106-123, Gilbert, AZ 85295. The listed phone number is (480) 256-2696.

What is Jennica Lines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennica Lines enrolled in Medicare?

No. Jennica Lines has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennica Lines was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.