Individual provider Active NPI

Jena Savage, PA-C

  • Physician Assistant
  • Wickenburg, AZ
National Provider Identifier
1215339338
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5838 Issued in AZ
Practice address
38 N Jefferson St
Wickenburg, AZ 85390-1211
Phone
(928) 668-6165
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 5838 AZ Primary

Addresses

Primary practice location

38 N Jefferson St
Wickenburg, AZ 85390-1211

Mailing address

38 N Jefferson St
Wickenburg, AZ 85390-1211
Phone (928) 668-6165

Other names 1

  • Jena Keller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5838AZMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jena.savage@359804633088004.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1215339338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 N JEFFERSON ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901211",
            "telephone_number": "928-668-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N JEFFERSON ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901211",
            "telephone_number": "928-668-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "JENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "KELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wickenburg, AZ

Sources for this page

Verify at the official NPI Registry.