Individual provider Active NPI

Juliette Margaret McCaffrey, PA-C

  • Physician Assistant
  • Prescott, AZ
National Provider Identifier
1235227729
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2458 Issued in AZ
Practice address
830 Ainsworth Dr
Prescott, AZ 86301-1630
Phone
(928) 777-5800
Fax
(928) 776-0405
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 2458 AZ Primary

Addresses

Primary practice location

830 Ainsworth Dr
Prescott, AZ 86301-1630

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2820 N Glassford Hill Rd Ste 107
Prescott Valley, AZ 86314-2256
Phone (928) 772-8553

Other practice location 2

2820 N Glassford Hill Rd Ste 103
Prescott Valley, AZ 86314-2256
Phone (928) 772-8553

Other practice location 3

820 Ainsworth Dr Ste B
Prescott, AZ 86301-1613
Phone (928) 777-5810

Other practice location 4

203 S Candy Ln # 14
Cottonwood, AZ 86326-4120
Phone (928) 639-3387

Other practice location 5

820 Ainsworth Dr Ste A
Prescott, AZ 86301-1613
Phone (928) 777-5800

Other identifiers 2

IdentifierTypeStateIssuer
589442MedicaidAZ
1048837OtherNCCPA CERTIFICATION

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address Juliette.McCaffrey@forefrontdermatology.emadirect.md
Direct Messaging Address Juliette.McCaffrey@forefrontdermatology.emadirect.md
Direct Messaging Address Juliette.McCaffrey@forefrontdermatology.emadirect.md
Direct Messaging Address Juliette.McCaffrey@forefrontdermatology.emadirect.md
Direct Messaging Address Juliette.McCaffrey@forefrontdermatology.emadirect.md
Direct Messaging Address Juliette.McCaffrey@forefrontdermatology.emadirect.md

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
I20050711000918 AZ Practitioner - Physician Assistant 9335175314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

203 S Candy LN
Unit 14
Cottonwood, AZ 86326-4120
Phone (928) 639-3387

2820 N Glassford Hill Rd
Prescott Valley, AZ 86314-2256
Phone (928) 772-8553

830 Ainsworth Dr
Prescott, AZ 86301-1630
Phone (928) 777-5800

875 N Greenfield Rd
Suite 108
Gilbert, AZ 85234-5044
Phone (480) 801-2103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Past Accepting new patients
Forefront Dermatology SC PastSince Feb 18, 2024 Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1235227729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AINSWORTH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011630",
            "telephone_number": "928-777-5800",
            "fax_number": "928-776-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 N Glassford Hill Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142256",
            "country_code": "US",
            "telephone_number": "928-772-8553",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 N Glassford Hill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142256",
            "country_code": "US",
            "telephone_number": "928-772-8553",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Ainsworth Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011613",
            "country_code": "US",
            "telephone_number": "928-777-5810",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Candy Ln # 14",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264120",
            "country_code": "US",
            "telephone_number": "928-639-3387",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Ainsworth Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011613",
            "country_code": "US",
            "telephone_number": "928-777-5800",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "JULIETTE",
        "middle_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589442",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1048837",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Juliette.McCaffrey@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "830 Ainsworth Dr",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Juliette.McCaffrey@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2820 N Glassford Hill Rd Ste 107",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863142256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Juliette.McCaffrey@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2820 N Glassford Hill Rd Ste 103",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863142256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Juliette.McCaffrey@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "203 S Candy Ln # 14",
            "city": "Cottonwood",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863264120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Juliette.McCaffrey@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "820 Ainsworth Dr Ste B",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Juliette.McCaffrey@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "820 Ainsworth Dr Ste A",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.