Individual provider Active NPI

Jennifer Ann Motz, PA-C

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1740665751
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09888 Issued in TX
Practice address
6974 Gateway Blvd E
#F
El Paso, TX 79915-1118
Phone
(915) 591-2704
Fax
(915) 598-3946
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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 PA09888 TX Primary

Addresses

Primary practice location

6974 Gateway Blvd E
#F
El Paso, TX 79915-1118

Mailing address

6060 Surety Dr Ste 200
El Paso, TX 79905-2033
Phone (915) 591-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160623000014 MN Practitioner - Physician Assistant 5092019661 Reassigns benefits to 2 organizations
I20191023003689 GA Practitioner - Physician Assistant 5092019661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Diseases IncGroup PAC ID 8123015278, 8 clinicians

Practice addresses (Care Compare)

1130 Talbotton Rd
Columbus, GA 31904-8749
Phone (706) 641-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12091MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince May 21, 2016 Accepting new patients
Fairview Health Services CurrentSince May 21, 2016 Accepting new patients
Fairview Clinics CurrentSince May 21, 2016 Accepting new patients
Fairview Health Services CurrentSince May 21, 2016 Accepting new patients
Endoscopy Center of Columbus, LLC Past Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1740665751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SURETY DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052033",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 GATEWAY BLVD E",
            "address_2": "#F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151118",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTZ",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.