Individual provider Active NPI

Jessica Lorraine Cummings, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1740435353
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
234488 Issued in AZ
Practice address
20470 N Lake Pleasant Rd Ste 106
Peoria, AZ 85382-9708
Phone
(623) 226-8455
Fax
(623) 401-6924
NPI assigned
Nov 24, 2008
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 234488 AZ
Family Nurse Practitioner 363LF0000X 71002838A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 234488 AZ Primary

Addresses

Primary practice location

20470 N Lake Pleasant Rd Ste 106
Peoria, AZ 85382-9708

Mailing address

20280 N 59TH Ave Ste 115-525
Glendale, AZ 85308-6850
Phone (623) 226-8455

Other names 1

  • Ms. Jessica Lorraine Snell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ, NV, VT, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20090909000056 IL Practitioner - Nurse Practitioner 9234294646
I20200131001257 AZ Practitioner - Nurse Practitioner 9234294646 Reassigns benefits to 1 organization
Practice locations: Peoria, AZ
I20240304002755 NV Practitioner - Nurse Practitioner 9234294646 Reassigns benefits to 1 organization
I20240812000924 VT Practitioner - Nurse Practitioner 9234294646
I20250305002095 GA Practitioner - Nurse Practitioner 9234294646

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

161 E Rivulon Blvd
Suite 210
Gilbert, AZ 85297-0087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Healthcare Providers, LLC CurrentSince Dec 4, 2023 Accepting new patients
Doctor on Demand Professionals of California CurrentSince Oct 3, 2023 Accepting new patients
Aim Healthcare Providers Wy, LLC CurrentSince Sep 11, 2025 Accepting new patients
Psychiatric Solutions LLC CurrentSince Nov 1, 2024 Accepting new patients
Aim Healthcare Providers VT, LLC CurrentSince Jul 1, 2024 Accepting new patients
Desert Health Is Wealth PLLC CurrentSince Nov 1, 2024 Accepting new patients
Aim Healthcare Providers Mt, PLLC Past Accepting new patients
Aim Healthcare Providers Ga, PC PastSince Feb 26, 2025 Accepting new patients

Locations

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

20280 N 59th Ave
Ste 115525
Glendale, AZ 85308

20470 N Lake Pleasant Rd
Ste 106
Peoria, AZ 85382
Phone (623) 226-8455

10000 N 31st Ave
Phoenix, AZ 85051
Phone (209) 219-6064

10000 N 31st Ave
Ste C100-138
Phoenix, AZ 85051
Phone (602) 878-8868

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

725 Community Dr
Ste 302
South Burlington, VT 05403

1621 Central Ave
Cheyenne, WY 82001
Phone (214) 984-1306

Interoperability endpoints

  • Direct secure messaging: jcummings232404@direct.valleywisehealth.org
  • Direct secure messaging: jessica.cummings.1@30520.direct.athenahealth.com
  • Direct secure messaging: jessica.snell.3@13070.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1740435353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-525",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "623-226-8455",
            "fax_number": "623-401-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-226-8455",
            "fax_number": "623-401-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JESSICA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "234488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002838A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "234488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SNELL",
            "middle_name": "LORRAINE",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.