Jismi Theeyattuveli, NP - Medicare Nurse Practitioner in Mesa, AZ

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Jismi Theeyattuveli, NP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pioneer Hospitalists, Pllc, Veracian Healthcare Plc, Alante Primary Care And Palliative Services Llc and her current practice location is 51 S 48th St, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 832-8333.

Jismi Theeyattuveli is licensed to practice in Arizona (license number 254316) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285229534.

Contact Information

Jismi Theeyattuveli, NP
51 S 48th St,
Mesa, AZ 85206-1250
(480) 832-8333
Not Available

Map and Direction




Provider's Profile

Full NameJismi Theeyattuveli
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location51 S 48th St, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jismi Theeyattuveli graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1285229534
  • Provider Enumeration Date: 03/08/2021
  • Last Update Date: 11/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446655625
  • Enrollment ID: I20210826000869

Medical Identifiers

Medical identifiers for Jismi Theeyattuveli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285229534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 138064 (Arizona)Secondary
363L00000XNurse Practitioner 254316 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dignity Health Arizona General HospitalMesa, AZHospital
Huhu Kam Memorial HospitalSacaton, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pioneer Hospitalists, Pllc094129029052
Veracian Healthcare Plc27695355822
Alante Primary Care And Palliative Services Llc418301676914

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jismi Theeyattuveli allows following entities to bill medicare on her behalf.
Entity NamePioneer Hospitalists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033177316
PECOS PAC ID: 0941290290
Enrollment ID: O20040517001550
Entity NameVeracian Healthcare Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063647733
PECOS PAC ID: 2769535582
Enrollment ID: O20090727000652
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameAlante Primary Care And Palliative Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700468527
PECOS PAC ID: 4183016769
Enrollment ID: O20220111000774

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jismi Theeyattuveli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.