Individual provider Active NPI

Kristen Ann Jensen, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1770834798
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5231 Issued in AZ
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

Updated by the provider on May 10, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121129000559 AZ Practitioner - Physician Assistant 2062664857 Reassigns benefits to 1 organization

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
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

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 Hospital, Prescott, AZ, CCN 030012
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5231AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Feb 11, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.