Active NPI
Jenna Ferris
- Medical Physician Assistant
- Laveen, AZ
National Provider Identifier
1760193775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 7650 S 59TH Ave Ste A105
Laveen, AZ 85339-3071 - Phone
- (602) 476-8888
- Fax
- (602) 563-3827
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AZ | Primary |
Addresses
Primary practice location
7650 S 59TH Ave Ste A105
Laveen, AZ 85339-3071
Mailing address
7650 S 59TH Ave Ste A105
Laveen, AZ 85339-3071
Phone (602) 476-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-5188
Hospital & facility affiliations
- Saint Mary'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Urgent Care | Medical | Past | Accepting new patients |
Interoperability endpoints
- jenna.ferrispac.p1@direct.nextcare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Reno, NV
- NPI 1831299668
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1760193775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 S 59TH AVE STE A105",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393071",
"telephone_number": "602-476-8888",
"fax_number": "602-563-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 S 59TH AVE STE A105",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393071",
"telephone_number": "602-476-8888",
"fax_number": "602-563-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "JENNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.