Individual provider Active NPI

Jasmine Cresanta, DNP-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1386273688
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
240165 Issued in AZ
Practice address
1930 S Alma School Rd Ste C204
Mesa, AZ 85210-3043
Phone
(480) 454-6370
Fax
(480) 336-3080
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 240165 AZ Primary

Addresses

Primary practice location

1930 S Alma School Rd Ste C204
Mesa, AZ 85210-3043

Mailing address

1930 S Alma School Rd Ste C204
Mesa, AZ 85210-3043
Phone (480) 454-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417002251 AZ Practitioner - Nurse Practitioner 4789014556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1930 S Alma School Rd
Suite C204
Mesa, AZ 85210-3043
Phone (480) 454-7136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
240165AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jasmine Cresanta DNP Pmhnp BC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Umbrella Medical LLC Psychiatric/Mental Health PastSince Jan 12, 2025 Accepting new patients

Locations

1930 S Alma School Rd
Ste C204
Mesa, AZ 85210
Phone (480) 454-6370

1930 S Alma School Rd
Ste C208
Mesa, AZ 85210
Phone (480) 454-7136

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1386273688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE C204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103043",
            "telephone_number": "480-454-6370",
            "fax_number": "480-336-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE C204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103043",
            "telephone_number": "480-454-6370",
            "fax_number": "480-336-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESANTA",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "DNP-PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "240165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.