Individual provider Active NPI

Jamie Marie Pearson, PA-C

  • Physician Assistant
  • Prescott Valley, AZ
National Provider Identifier
1700960325
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5613 Issued in AZ
Practice address
3200 N Windsong Dr
Prescott Valley, AZ 86314-2255
Phone
(928) 583-6300
Fax
(928) 774-7767
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 5613 AZ Primary

Addresses

Primary practice location

3200 N Windsong Dr
Prescott Valley, AZ 86314-2255

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

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
I20140818000449 AZ Practitioner - Physician Assistant 0143350629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

1040 S Harrison Rd
Suite 120
Tucson, AZ 85748-6601
Phone (520) 989-8255

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

6303 E Broadway Blvd
Suite 161
Tucson, AZ 85710-3549
Phone (520) 989-8243

6572 E Grant Rd
Suite 130
Tucson, AZ 85715-3810
Phone (520) 989-8259

7375 S Houghton Rd
Suite 115
Tucson, AZ 85747-9302
Phone (520) 640-6300

7895 E Broadway Blvd
Tucson, AZ 85710-3943
Phone (520) 543-6770

9175 E Tanque Verde Rd
Tucson, AZ 85749-8820
Phone (520) 989-8241

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education, LLC Physician Assistant CurrentSince Feb 12, 2021 Accepting new patients

Locations

1485 N Turquoise Dr
Ste 200
Flagstaff, AZ 86001
Phone (928) 774-7757

1840 N Jasper Dr
Ste 3
Flagstaff, AZ 86001

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

3200 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 226-2900

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

Interoperability endpoints

  • Direct secure messaging: jamie.pearson.1@1576.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1700960325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-583-6300",
            "fax_number": "928-774-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.