Jaime L Engholdt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4726 Issued in AZ

Practice address

3120 W Carefree Hwy Ste 1-132
Phoenix, AZ 85086-3260

Phone

(480) 622-0548

NPI assigned

Sep 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, FL, NJ, CT4 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 4

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bluesleep PCGroup PAC ID 9537699541, 9 clinicians

Jordan C. Stern M.D.P.CGroup PAC ID 0749321800, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jengholdt394411@ehrdirect.mayoclinicmsg.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.

• Jordan C. Stern M.D.P.C

  • Sleep Medicine (Otolaryngology) Physician
  • Stamford, CT
  • NPI 1689531949
  Medicare reassignment Care Compare group NPD
• Bluesleep PC

  • Otolaryngology Physician
  • New York, NY
  • NPI 1033859822

  NJ

  Medicare reassignment Care Compare group
• Jordan C. Stern M.D.P.C

  • Otolaryngology Physician
  • Aventura, FL
  • NPI 1093680118
  Medicare reassignment NPD
• Jordan C. Stern M.D.P.C.

  • Otolaryngology Physician
  • New York, NY
  • NPI 1891025466
  Medicare reassignment
• Jordan C. Stern M.D.P.C

  • Sleep Medicine (Otolaryngology) Physician
  • Scottsdale, AZ
  • NPI 1932911013
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1851609309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W CAREFREE HWY STE 1-132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863260",
            "telephone_number": "480-622-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W CAREFREE HWY STE 1-132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863260",
            "telephone_number": "480-622-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGHOLDT",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nuyoumedweightloss.com",
            "affiliation": "N",
            "address_1": "3120 W Carefree Hwy Ste 1-132",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850863260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Arthur Engelking, PSS
• Raechel Engelking
• Mark R Engelman, M.D.
• Jessica A. Engels, LPC
• Nancy Engelsen
• George William Engisch, D.O.
• David England, D.O.
• Georgia England, M.D.
• Julia Ann England, LCSW
• Katie Lynn England, PHARMD

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.