JENNIFER RENAE REALE NP NPI 1386228658

NPI Information

  • NPI: 1386228658
  • Provider Name: JENNIFER RENAE REALE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1835 W MISSOURI AVE
    PHOENIX, AZ
    ZIP 85015
  • Phone: (602) 230-0777

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NPI Details

Jennifer Renae Reale, NP is a family nurse practitioner in Phoenix, AZ with 5 years of experience. Jennifer Renae Reale, NP NPI is 1386228658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1835 W MISSOURI AVE
PHOENIX, AZ
ZIP 85015-046
Phone: (602) 230-0777

The NPI 1386228658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Urinalysis, manual test (HCPCS:81002)
  • Annual depression screening, 15 minutes (HCPCS:G0444)

The enumeration date for this NPI number is 5/12/2021 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily252198ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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