Individual provider Active NPI

Jay Reynold Gunnell, PA-C

  • Medical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1255682290
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5220 Issued in AZ
Practice address
2345 E Southern Ave
101
Mesa, AZ 85204-5419
Phone
(480) 893-2345
Fax
(480) 892-2264
NPI assigned
Oct 1, 2012
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5220 AZ Primary

Addresses

Primary practice location

2345 E Southern Ave
101
Mesa, AZ 85204-5419

Mailing address

2345 E Southern Ave
101
Mesa, AZ 85204-5419
Phone (480) 893-2345

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
I20160223001070 AZ Practitioner - Physician Assistant 3072765254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

1810 S Power Rd
Suite 101
Mesa, AZ 85206-4325
Phone (480) 214-0045

2720 W Baseline Rd
Suite 140
Tempe, AZ 85283-1065
Phone (602) 777-6000

2875 W Ray Rd
Suite 8
Chandler, AZ 85224-3619
Phone (480) 899-3070

3244 S Mill Ave
Suite 101
Tempe, AZ 85282-3688
Phone (480) 214-0621

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

4501 E Thomas Rd
Suite 101
Phoenix, AZ 85018-7600
Phone (602) 808-8786

7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314

835 W University Dr
Mesa, AZ 85201-5555
Phone (480) 664-6007

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Jun 8, 2022 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 17, 2023 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
Family First Physicians PLLC PastSince Dec 12, 2005 Accepting new patients

Locations (25 of 44)

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 571-1863

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JADCCA
  • Direct secure messaging: jgunnell537672@direct.honorhealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1255682290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E SOUTHERN AVE",
            "address_2": "101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045419",
            "telephone_number": "480-893-2345",
            "fax_number": "480-892-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E SOUTHERN AVE",
            "address_2": "101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045419",
            "telephone_number": "480-893-2345",
            "fax_number": "480-892-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELL",
        "first_name": "JAY",
        "middle_name": "REYNOLD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.