Individual provider Active NPI

Jacquelyn Rene Bybee, RNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1447907019
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
238527 Issued in AZ
Practice address
14100 N 83Rd Ave
Peoria, AZ 85381-5658
Phone
(623) 583-0232
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 238527 AZ Primary

Addresses

Primary practice location

14100 N 83Rd Ave
Peoria, AZ 85381-5658

Mailing address

14100 N 83Rd Ave
Peoria, AZ 85381-5658
Phone (623) 583-0232

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
I20220406001789 AZ Practitioner - Nurse Practitioner 7719373448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 400And402
Peoria, AZ 85345-5470
Phone (602) 636-4605

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC CurrentSince Mar 3, 2022 Accepting new patients
Partners in Recovery, LLC CurrentSince Mar 3, 2022 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Recovery Innovations, Inc CurrentSince Jan 1, 2025 Accepting new patients
Recovery Innovations, Inc CurrentSince Jan 1, 2025 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
Recovery Innovations Inc PastSince Mar 28, 2021 Accepting new patients

Locations

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232

11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379

2701 N 16th St
Ste 316
Phoenix, AZ 85006

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

Organizations & group practices 7

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1447907019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815658",
            "telephone_number": "623-583-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815658",
            "telephone_number": "623-583-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYBEE",
        "first_name": "JACQUELYN",
        "middle_name": "RENE",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "238527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.