Macy Jepsen, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4602 E Seneca St
Tucson, AZ 85712-3272

Phone

(208) 241-0558

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Premier Surgical Assisting LLC

  • Surgical Physician Assistant
  • Tucson, AZ
  • NPI 1518692250
  NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1083345730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 E SENECA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123272",
            "telephone_number": "208-241-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 E SENECA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123272",
            "telephone_number": "208-241-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 S Houghton Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857487632",
            "country_code": "US",
            "telephone_number": "208-241-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "MACY",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard K Jeong, MD
• Kellie Jeong
• Cherubim Jephunneh
• Jacob Michael Jeppson, DPT, PT
• Denali Anne Jepsen, DPT
• Jennifer Jepson, PSYD, LICSW
• Jeri B Hassman MD PC
• Julia Jernberg, MD
• Jerry Greenberg MD PC
• Jerry Neuman MD PC

• Surgical Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.