JESSICA NUESTRO REPOLDA
NPI 1790431740
Nurse Practitioner in Tucson, AZ

Q: What is Jessica Repolda's NPI number?

The NPI number for Jessica Repolda is 1790431740. It was assigned to this individual provider in the NPPES registry on March 1, 2022. The provider is also known as Ms. Jessica Dumago Nuestro Fnp-C.

Q: What is Jessica Repolda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Repolda was last updated on March 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 01, 2022PECOS Enrolled

5663 E GRANT RD, TUCSON, AZ 85712(520) 433-4964 Get Directions Write a Review

NPPES record last updated: March 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2022, Mar 1, 2022 (2 updates tracked since 2022).

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About Jessica Nuestro Repolda NPPES

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

JESSICA NUESTRO REPOLDA (NPI 1790431740) is an individual nurse practitioner in Tucson, Arizona, licensed in Arizona (270113) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790431740

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA NUESTRO REPOLDA

Location Address5663 E GRANT RDTucson, AZ 85712-2211

Mailing Address5663 E Grant RdTucson, AZ 85712-2211 · (520) 433-4964

Phone(520) 433-4964

Sole ProprietorNo

Enumeration DateMarch 1, 2022

Last NPPES UpdateMarch 13, 20222 updates tracked since enumeration

NPPES CertifiedMarch 13, 2022

✔ NPI 1790431740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 270113

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5663 E GRANT RD, Tucson, AZ 85712

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Other Names 1

Former Name (1)Ms. Jessica Dumago Nuestro Fnp-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Nuestro Repolda 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 85712 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 7

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

FRANCISCO JAVIER CARRILLO ACNP

Nurse Practitioner (Acute Care)