Individual provider Active NPI

Jenna Ferris

  • Medical Physician Assistant
  • Laveen, AZ
National Provider Identifier
1760193775
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 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
I20240125002973 AZ Practitioner - Physician Assistant 3870946858 Reassigns benefits to 2 organizations
I20250402002906 NV Practitioner - Physician Assistant 3870946858 Reassigns benefits to 1 organization

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
Reno Emergency Physicians Association PLLCGroup PAC ID 6305745738, 13 clinicians

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 Hospital, Reno, NV, CCN 290009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Urgent Care Medical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenna.ferrispac.p1@direct.nextcare.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.