Jennifer A Davis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9144 Issued in AZ

Practice address

3301 N Litchfield Rd Ste 200
Goodyear, AZ 85395-3197

Phone

(623) 935-2929

NPI assigned

Jun 22, 2022

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arcadia Medical Group LLCGroup PAC ID 1850642364, 10 clinicians

WV Medical Group LLCGroup PAC ID 9032440235, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Arcadia Medical Group LLC

  dba Backfit Health & Spine

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1033600358

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• WV Medical Group LLC

  • General Practice Physician
  • Goodyear, AZ
  • NPI 1962059279
  Medicare reassignment Care Compare group
• Desert Ridge Medical Group

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1386133080

  Physician Assistant

  Medicare reassignment NPD
• Ellsworth Medical Group LLC

  • General Practice Physician
  • Queen Creek, AZ
  • NPI 1467928804

  Physician Assistant

  Medicare reassignment NPD
• Ocotillo Medical Group LLC

  • General Practice Physician
  • Chandler, AZ
  • NPI 1538692470

  Physician Assistant

  Medicare reassignment NPD
• Ray Road Medical Group LLC

  • General Practice Physician
  • Chandler, AZ
  • NPI 1912498239

  Physician Assistant

  Medicare reassignment NPD
• Litchfield Medical Group LLC

  • General Practice Physician
  • Goodyear, AZ
  • NPI 1881241198

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1184355885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 W LUKE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853074307",
            "telephone_number": "602-684-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N LITCHFIELD RD STE 200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853953197",
            "telephone_number": "623-935-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Davidson, MD
• Karol Davila, KD
• Ashley Davis
• Brendan Davis, PA-C
• Cameron Teutschel Davis, MD
• Michael A. Davis, DC
• Nicholas Davis, ACNPC-AG
• Sharon Renae Davis, FNP - BC
• Dawn Institute, LLC
• Kristina Marie Dawson, RN BSN

• Physician Assistant in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.