Jonathon Christopher Rutt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8596 Issued in AZ

Practice address

3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042

Phone

(602) 635-6951

Fax

(602) 635-6952

NPI assigned

Sep 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

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.

• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  AZ

  Medicare reassignment Care Compare group
• Epangelia Properties, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1780819748

  AZ

  Medicare reassignment
• Sundance Medical Associates PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1942481718
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1689343402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 W BASELINE RD STE 140",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393042",
            "telephone_number": "602-635-6951",
            "fax_number": "602-635-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 W BASELINE RD STE 140",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393042",
            "telephone_number": "602-635-6951",
            "fax_number": "602-635-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1847 W Heatherbrae Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154764",
            "country_code": "US",
            "telephone_number": "602-274-2100",
            "fax_number": "602-535-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21321 E Ocotillo Rd Ste 133",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425995",
            "country_code": "US",
            "telephone_number": "480-987-5525",
            "fax_number": "480-987-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTT",
        "first_name": "JONATHON",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANT",
            "identifier": "8596",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sarai Rodriguez
• Delfina Sarah Romero
• Roman William Romero, M.S., CCC-SLP
• Abigail Ross
• Joanne Ruelas
• Mia Sabbara
• Safe Management, LLC
• Safeway Inc
• Alexandra Salazar, OTD, OTR/L
• Carlos Sloan Salazar

• All providers in Laveen, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.