Active NPI
Kristen Ann Jensen, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5231
- Practice address
- 2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352 - Phone
- (602) 952-0002
- Fax
- (602) 224-9119
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5231 | AZ | Primary |
Addresses
Primary practice location
2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Mailing address
2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone (602) 952-0002
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2792
26900 N Lake Pleasant Pkwy
Suite 210
Peoria, AZ 85383-1558
Phone (623) 561-3000
5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039
Hospital & facility affiliations
- Yavapai Regional Medical Center
- Abrazo Arrowhead Hospital
- Wickenburg Community Hospital
- Flagstaff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5231 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients |
Locations
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440
444 W Osborn Rd
Ste 200
Phoenix, AZ 85013
Phone (602) 230-1400
2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002
4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002
Interoperability endpoints
- kristen.jensen.1@600.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1770834798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164352",
"telephone_number": "602-952-0002",
"fax_number": "602-224-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164352",
"telephone_number": "602-952-0002",
"fax_number": "602-224-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "KRISTEN",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2021-05-10",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.