DR. JESSIE MARIE PETTIT MD
NPI 1821232216
Family Medicine in Tucson, AZ

Q: What is Jessie Pettit's NPI number?

The NPI number for Jessie Pettit is 1821232216. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Q: What is Jessie Pettit's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessie Pettit was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment

4008 E PIMA ST, TUCSON, AZ 85712(520) 326-0850(520) 326-0849 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2026, Dec 9, 2025, Apr 3, 2024 (3 updates tracked since 2024).

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About Dr. Jessie Marie Pettit Md NPPES

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

DR. JESSIE MARIE PETTIT MD (NPI 1821232216) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (41805) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2006).

NPPES Registry Identity

NPI1821232216

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JESSIE MARIE PETTITCredential: MD

Location Address4008 E PIMA STTucson, AZ 85712-3317

Mailing Address2980 N Swan Rd Ste 225Tucson, AZ 85712-6024 · (520) 276-6255 · Fax (520) 525-0005

Phone(520) 326-0850

Fax(520) 326-0849

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2006

Enumeration DateApril 29, 2009

Last NPPES UpdateApril 12, 20263 updates tracked since enumeration

NPPES CertifiedApril 12, 2026

✔ NPI 1821232216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 41805

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4008 E PIMA ST, Tucson, AZ 85712

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Secondary Practice Location 1

Location 12980 N Swan Rd Ste 225Tucson, AZ 85712-6024 · Phone (520) 276-6255 · Fax (520) 525-0005

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

Dr. Jessie Marie Pettit Md 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 ID3173673258

PECOS Enrollment IDI20090611000147

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 Jessie Pettit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banyan Integrative Health LLC

Same address

Family Medicine

4008 E PIMA ST
Tucson, AZ 85712

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1992262810 (520) 326-0850

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 4

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.

198 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

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.

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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims300 services$2.65 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims7,351 services$0.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LEILA ALI-AKBARIAN MD,MPH

Family Medicine