Individual provider Active NPI

Jason Richard Jensen, M.D.

  • Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1871715367
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
43504 Issued in AZ
Practice address
9787 N 91St St Ste 101
Scottsdale, AZ 85258-5088
Phone
(480) 245-6211
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MT187118 PA
Anesthesiology Physician 207L00000X 43504 AZ
Anesthesiology Physician 207L00000X MD29091 OR
Anesthesiology Physician 207L00000X R4066 TX
Addiction Medicine (Anesthesiology) Physician 207LA0401X 43504 AZ
Pain Medicine Physician 208VP0000X 43504 AZ Primary

Addresses

Primary practice location

9787 N 91St St Ste 101
Scottsdale, AZ 85258-5088

Mailing address

9787 N 91St St Ste 101
Scottsdale, AZ 85258-5088
Phone (480) 245-6211

Other identifiers 3

IdentifierTypeStateIssuer
377641102MedicaidTX
500608594MedicaidOR
549448MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000373 AZ Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5799839205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

Practice addresses (Care Compare)

9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone (480) 563-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29091ORMDAnesthesiology Physician
MT187118PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Jul 9, 2023 Accepting new patients
Gateway Anesthesia and Pain Associates PLLC Anesthesiology CurrentSince Sep 21, 2010 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Jul 9, 2023 Accepting new patients
Lake Pleasant Surgical Center LLC Current Accepting new patients
Physical Medicine of Chandler LLC PastSince May 1, 2020 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1055 W Queen Creek Rd
Ste 3
Chandler, AZ 85248
Phone (480) 485-9963

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

6859 E Rembrandt Ave
Ste 101
Mesa, AZ 85212
Phone (480) 389-4516

13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

10611 N Hayden Rd
Ste 102D
Scottsdale, AZ 85260
Phone (480) 307-8258

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

Interoperability endpoints

  • Direct secure messaging: jason.jensen@azp.eclinicaldirectplus.com
  • Direct secure messaging: jason.jensen@1339.chartlogic.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1871715367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9787 N 91ST ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585088",
            "telephone_number": "480-245-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9787 N 91ST ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585088",
            "telephone_number": "480-245-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT187118",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "43504",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD29091",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R4066",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "AZ",
            "license": "43504",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "43504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377641102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500608594",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549448",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.