Individual provider Active NPI

Jace Egbert, PA

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1194356238
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001 Issued in AZ
Practice address
3530 S Val Vista Dr
Gilbert, AZ 85297-7318
Phone
(480) 840-9155
Fax
(480) 840-9320
NPI assigned
Jan 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 10001 AZ Primary

Addresses

Primary practice location

3530 S Val Vista Dr
Gilbert, AZ 85297-7318

Mailing address

3530 S Val Vista Dr
Gilbert, AZ 85297-7318
Phone (480) 840-9155

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
I20231026001625 AZ Practitioner - Physician Assistant 0941656086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

3530 S Val Vista Dr
Suite C101
Gilbert, AZ 85297-7318
Phone (480) 840-9155

Merit-based Incentive Payment System (MIPS)

Final score
20.18 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
67.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyu Family Medicine, LLC CurrentSince Oct 19, 2023 Accepting new patients
Prescott Healthcare Solutions LLC CurrentSince Oct 19, 2023 Accepting new patients
Sundance Medical Associates PLLC PastSince Oct 22, 2023 Accepting new patients

Locations

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

4365 E Pecos Rd
Ste 134
Gilbert, AZ 85295
Phone (480) 497-3946

3530 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 722-2340

4365 E Pecos Rd
Ste 135
Gilbert, AZ 85295

3530 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 840-9155

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

3530 S Val Vista Dr
Ste C101
Gilbert, AZ 85297
Phone (480) 840-9155

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4

Organizations & group practices 3

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1194356238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "JACE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.