SHAWANNA KINEISHA JONES PMHNP
NPI 1780202374
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
96.89/100
CMS Quality Rating
1840 N 95TH AVE STE 132, PHOENIX, AZ 85037(623) 932-6950(623) 872-6091 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2021, Jul 9, 2020 (2 updates tracked since 2020).

About Shawanna Kineisha Jones Pmhnp NPPES

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

SHAWANNA KINEISHA JONES PMHNP (NPI 1780202374) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (237642) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780202374
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAWANNA KINEISHA JONESCredential: PMHNP
Location Address1840 N 95TH AVE STE 132Phoenix, AZ 85037-4445
Mailing Address2700 N Central Ave Ste 1050Phoenix, AZ 85004-1217 · (602) 266-8402
Fax(623) 872-6091
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1780202374 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 · 237642
1840 N 95TH AVE STE 132, Phoenix, AZ 85037

Accepted 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

Shawanna Kineisha Jones 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 ID8921410531
PECOS Enrollment IDI20201223000740
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 Reassignment

Medicare enrollment records show Shawanna Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1840 N 95TH AVE STE 132
Phoenix, AZ 85037
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.99
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037
Nurse Practitioner (Family)
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037
Psychiatry & Neurology (Psychiatry)
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037
Nurse Practitioner (Psychiatric/Mental Health)
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037
Nurse Practitioner (Psychiatric/Mental Health)
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037
Community/Behavioral Health
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037

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 Shawanna Jones's NPI number?

The NPI number for Shawanna Jones is 1780202374. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Shawanna Jones located?

Shawanna Jones practices at 1840 N 95th Ave Ste 132, Phoenix, AZ 85037. The listed phone number is (623) 932-6950.

What is Shawanna Jones's specialty?

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

Is Shawanna Jones enrolled in Medicare?

Yes. Shawanna Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shawanna Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawanna Jones reassigns Medicare benefits to Southwest Network, Inc. (Phoenix, AZ). The 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 Shawanna Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawanna Jones accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Shawanna Jones 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 Shawanna Jones was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.