Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Pemberton

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487318515

Jamie Pemberton is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2021, 5 years ago. Practices with Community Bridges Inc, a 107-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021

Practice location Address checks out

14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Phone: (480) 516-8037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 268115 (AZ)

Record details

NPI number1487318515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address500 N Estrella Pkwy # B2-204, Goodyear, AZ 85338-4135

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Bridges Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Goodyear