| Jismi Theeyattuveli, NP | |
|
51 S 48th St, Mesa, AZ 85206-1250 | |
| (480) 832-8333 | |
| Not Available |
| Full Name | Jismi Theeyattuveli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 51 S 48th St, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285229534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 138064 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | 254316 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health Arizona General Hospital | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pioneer Hospitalists, Pllc | 0941290290 | 46 |
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Veracian Healthcare Plc | 2769535582 | 2 |
| Entity Name | Pioneer Hospitalists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033177316 PECOS PAC ID: 0941290290 Enrollment ID: O20040517001550 |
| Entity Name | Veracian Healthcare Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063647733 PECOS PAC ID: 2769535582 Enrollment ID: O20090727000652 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Alante Primary Care And Palliative Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700468527 PECOS PAC ID: 4183016769 Enrollment ID: O20220111000774 |
| Mailing Address | Practice Location Address |
|---|---|
| Jismi Theeyattuveli, NP 4291 E Lexington Ave, Gilbert, AZ 85234-0729 Ph: (480) 310-8524 | Jismi Theeyattuveli, NP 51 S 48th St, Mesa, AZ 85206-1250 Ph: (480) 832-8333 |
Aida E Amado, MS, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10163 E Jacob Ave, Mesa, AZ 85209 Phone: 480-296-8849 | |
Marilyn Rose Schatz, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206 Phone: 480-835-7111 Fax: 480-969-9345 | |
Mrs. Krista Ann Roppelt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3155 E Southern Ave Ste 203, Mesa, AZ 85204 Phone: 480-325-8173 Fax: 480-325-8179 | |
Jennifer Christine Fendler, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 924 N Country Club Dr, Mesa, AZ 85201 Phone: 480-601-3528 | |
Alisha Kristine Holben, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 560 S Bellview, Mesa, AZ 85204 Phone: 276-623-7851 | |
Mari Michelle Hooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 646 S Sabrina, Mesa, AZ 85208 Phone: 480-628-8370 | |
Mrs. Marguerite R Galindo, MS, FNP-C, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6015 E Brown Rd, Mesa, AZ 85205 Phone: 480-266-4436 |