Jaymie Dee Pearcy, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

56096 Issued in CA

Practice address

1430 22ND St
Sacramento, CA 95816-5708

Phone

(916) 453-0911

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freed Plastic Surgery a Medical CorporationGroup PAC ID 2365596483, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpearcy422754@hisp.ehr.sutterhealth.org

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.

• Freed Plastic Surgery, a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Auburn, CA
  • NPI 1306094552
  Medicare reassignment Care Compare group
• Sutter Valley Hospitals

  dba Sutter Auburn Faith Hospital

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  NPD
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  NPD

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1801361571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 STORY RIDGE WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958435235",
            "telephone_number": "916-284-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 22ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165708",
            "telephone_number": "916-453-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCY",
        "first_name": "JAYMIE",
        "middle_name": "DEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "56096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanda B Peacock
• Victoria Monet Peacock
• Lance Peacor
• Daniel Peak, RN, NP
• Easton Carlson Pearce
• Pearl Group Medical Professional Corporation
• Pixie Pearl, MSW, ASW
• Pearle Visioncare, Inc (Pearle Vision #C6026)
• Joel Abrahm Pearlman, M.D., PH.D
• Cristina Pearsall

• Surgical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.

Verify at the official NPI Registry.