Timothy Alan Jensen, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015046 Issued in NY

Practice address

5149 Sage Ter
Canandaigua, NY 14424-8243

Phone

(585) 394-1007

NPI assigned

May 17, 2007

Sex

Male

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 NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bradshaw Chiropractic

  • Chiropractor
  • Ithaca, NY
  • NPI 1083668297
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1508073677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 SAGE TER",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248243",
            "telephone_number": "585-394-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 SAGE TER",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248243",
            "telephone_number": "585-394-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germain Jean-Charles, DDS,MS
• Misselle Lavonne Jeffcoat, LPMHC, LPC, MS
• Elizabeth A Jeffery, LCSW
• Morgan Renee Jeneault, COTA/L
• Diana Jensen, RNFA
• Jetkat, Inc.
• Marcia Jewell, RN
• John E Shafer
• John Estabrook
• John O. Evans, O.D,

• Physician Assistant in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.