David Jenson, DNP, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP7855 Issued in AZ

Practice address

3212 N Windsong Dr
Suite 200
Prescott Valley, AZ 86314-2255

Phone

(928) 583-1000

Fax

(866) 751-4157

NPI assigned

Jun 9, 2015

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Yavapai Guidance Clinic IncGroup PAC ID 3375524358, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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

• West Yavapai Guidance Clinic, Inc

  dba Polara Health

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1952550071
  Medicare reassignment Care Compare group NPD
• County of Yavapai

  dba Yavapai County Community Health Services

  • Public Health or Welfare Agency
  • Prescott, AZ
  • NPI 1952501389
  NPD
• West Yavapai Guidance Clinic

  dba Polara Health

  • Clinic/Center
  • Camp Verde, AZ
  • NPI 1538878186
  NPD
• West Yavapai Guidance Clinic Cortez

  dba Cortez Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prescott, AZ
  • NPI 1871547430
  NPD
• West Yavapai Guidance Clinic, Inc.

  dba Polara Health

  • Primary Care Clinic/Center
  • Prescott Valley, AZ
  • NPI 1316212178
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1396126983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-583-1000",
            "fax_number": "866-323-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 N WINDSONG DR",
            "address_2": "SUITE 200",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-583-1000",
            "fax_number": "866-751-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "DAVID",
        "credential": "DNP, PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7855",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042864",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jacobson, PSYD
• Kavita Devi Jaikaran, DNP
• Karen M Jamison, NP
• Adrian Jantzi
• Kaylynn Nicole Janulewicz, LMT
• Jerry a Paulson DC Inc (Stoneridge Chiropractic Wellness Center)
• Rajiv Jetly, M.D.
• Jodi Gilray PT PLLC
• John Paul Futral DC PLLC (Futral Chiropractic Center)
• John R Markham PC (Prescott Vision and Eye Surgery Center)

• Psychiatric/Mental Health Nurse Practitioner in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.