Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. JAMIE LEE MISENCIK DNP, CPNP-AC
NPI 1871400424
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Jamie Lee Misencik's NPI number?

The NPI number for Jamie Lee Misencik is 1871400424. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Q: What is Jamie Lee Misencik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 27, 2026PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1784(602) 933-4298 Get Directions Write a Review

NPPES record added: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2026, Aug 27, 2026 (2 updates tracked since 2026).

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About Ms. Jamie Lee Misencik Dnp, Cpnp-ac NPPES

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

MS. JAMIE LEE MISENCIK DNP, CPNP-AC (NPI 1871400424) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (344721) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871400424

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. JAMIE LEE MISENCIKCredential: DNP, CPNP-AC

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124

Phone(602) 933-1784

Fax(602) 933-4298

Sole ProprietorNo

Enumeration DateAugust 27, 2026

Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2026

✔ NPI 1871400424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 344721

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 344721 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jamie Lee Misencik Dnp, Cpnp-ac 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 85016 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.

DR. TIMUR RAGHIB M.D.

Hospitalist