Jared Ross Anderson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2709 Issued in NV

Practice address

10561 Jeffreys St Ste 230
Henderson, NV 89052-4268

Phone

(702) 819-8536

Fax

(702) 948-1088

NPI assigned

Feb 18, 2021

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nevada Orthopedic and Spine CenterGroup PAC ID 4284622895, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Merit-based Incentive Payment System (MIPS)

Final score

75.43 of 100Reported as group

Quality

55.74

Promoting interoperability

94

Improvement activities

40

Cost

67.35

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Nevada Orthopedic & Spine Center

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1437158771
  Medicare reassignment Care Compare group NPD

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

• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1689267890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-819-8536",
            "fax_number": "702-948-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-819-8536",
            "fax_number": "702-948-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Magical Mystery Ln",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890745862",
            "country_code": "US",
            "telephone_number": "571-442-7763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JARED",
        "middle_name": "ROSS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA2709",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auzane Elisse Anderson
• Christina Leta Anderson, CCMA
• Clinton M Anderson, MT, PA-C
• Jacqueline Anderson
• Jaime Anderson
• Leah Michelle Anderson, FNP
• Leshauna Jeannine Anderson
• Matthew Cyle Anderson, MS,OTR/L
• Melissa Sue Anderson, P.T.
• Michael J Anderson, MD

• Medical Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.