Jerry M Parsons, P.A.C./A.T.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000250A Issued in IN

Practice address

107 W Pickwick Dr
Syracuse, IN 46567-1832

Phone

(574) 457-8585

Fax

(260) 479-2913

NPI assigned

May 24, 2005

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

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

Merit-based Incentive Payment System (MIPS)

Final score

90.99 of 100Reported as apm

Quality

77.41

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Medicine of Indiana

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1952356883
  NPD (past)
• Fort Wayne Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1497758429

  Physician Assistant

  NPD (past)
• Fort Wayne Orthopaedics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gas City, IN
  • NPI 1699425082
  NPD (past)
• Innovative Hospital Care Inc

  • Hospitalist Physician
  • Peru, IN
  • NPI 1427298330
  NPD (past)
• Redimed Dekalb LLC

  • General Practice Physician
  • Auburn, IN
  • NPI 1669417457
  NPD (past)
• St. Joseph Health System, LLC

  dba Lutheran Downtown Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Fort Wayne, IN
  • NPI 1538812946
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1871596858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W PICKWICK DR",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671832",
            "telephone_number": "574-457-8585",
            "fax_number": "260-479-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W PICKWICK DR",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671832",
            "telephone_number": "574-457-8585",
            "fax_number": "260-479-2913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7333 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468046280",
            "country_code": "US",
            "telephone_number": "260-435-7839",
            "fax_number": "260-435-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JERRY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.A.C./A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000250A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.parsons@lutheranhealthnetwork.cerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "107 W Pickwick Dr",
            "city": "Syracuse",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465671832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Miller
• Aceria Myers, DC
• Alicia Nolan, MSED
• Wendy Ortiz
• Hope Owens
• Playology Pediatric Therapy LLC
• Rebecca Shaffer, MSW, LSW
• Julianna Meleah Sherman, PTA
• Shopko Stores Operating Co LLC (Shopko Pharmacy 647)
• April D Silvarman, LPN

• Physician Assistant in Syracuse, IN
• Providers in Syracuse, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.