Individual provider Active NPI

Sheridan Haley Jansen, PA

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1104531474
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10997 Issued in AZ
Practice address
725 S Dobson Rd Ste 200
Chandler, AZ 85224-5679
Phone
(480) 899-7546
Fax
(480) 899-7599
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10997 AZ Primary

Addresses

Primary practice location

725 S Dobson Rd Ste 200
Chandler, AZ 85224-5679

Mailing address

725 S Dobson Rd Ste 200
Chandler, AZ 85224-5679
Phone (480) 899-7546

Other practice location 1

3509 S Mercy Rd Ste 103
Gilbert, AZ 85297-0442
Phone (808) 555-0464

Other practice location 2

8817 E Bell Rd Ste 101
Scottsdale, AZ 85260-1589
Phone (480) 513-9440

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
I20250328002868 AZ Practitioner - Physician Assistant 5193248268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Arizona PCGroup PAC ID 0547561169, 14 clinicians

Practice addresses (Care Compare)

3509 S Mercy Rd
Suite 103
Gilbert, AZ 85297-0442
Phone (602) 264-9044

740 E Highland Ave
Suite 101
Phoenix, AZ 85014-3609
Phone (602) 264-9044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10997AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bill H. Halmi MD, PC Multi-Specialty PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 2

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1104531474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD STE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245679",
            "telephone_number": "480-899-7546",
            "fax_number": "480-899-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD STE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245679",
            "telephone_number": "480-899-7546",
            "fax_number": "480-899-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3509 S Mercy Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970442",
            "country_code": "US",
            "telephone_number": "808-555-0464",
            "fax_number": "480-855-7739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8817 E Bell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601589",
            "country_code": "US",
            "telephone_number": "480-513-9440",
            "fax_number": "480-513-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "SHERIDAN",
        "middle_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.