KALIYAH JAYNES DNP, FNP-C
NPI 1861112492
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Kaliyah Jaynes's NPI number?

The NPI number for Kaliyah Jaynes is 1861112492. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Q: What is Kaliyah Jaynes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaliyah Jaynes was last updated on March 30, 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 September 01, 2022PECOS EnrolledAccepts Medicare Assignment

3830 E VAN BUREN ST, PHOENIX, AZ 85008(602) 806-6655(602) 323-3496 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2026, Mar 7, 2026, Sep 1, 2022 (3 updates tracked since 2022).

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About Kaliyah Jaynes Dnp, Fnp-c NPPES

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

KALIYAH JAYNES DNP, FNP-C (NPI 1861112492) is an individual family provider in Phoenix, Arizona, licensed in Arizona (218641) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861112492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKALIYAH JAYNESCredential: DNP, FNP-C

Location Address3830 E VAN BUREN STPhoenix, AZ 85008-6920

Mailing Address3830 E Van Buren StPhoenix, AZ 85008-6920 · (602) 243-7277

Phone(602) 806-6655

Fax(602) 323-3496

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 1, 2022

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1861112492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 218641

3830 E VAN BUREN ST, Phoenix, AZ 85008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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 and accepts Medicare assignment

Kaliyah Jaynes Dnp, Fnp-c 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 ID143705517

PECOS Enrollment IDI20260402003286

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

Mountain Park Health Center

1.3 mi

Federally Qualified Health Center (FQHC)

1300 N 48TH ST
Phoenix, AZ 85008

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

NPI 1912661323 (602) 243-7277

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 85008 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 20

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

MICHELE MARIE FITZGERALD RN

Registered Nurse