Active NPI
Jason Allen Wesley, M.D.
- Family Medicine Physician
- Sedona, AZ
National Provider Identifier
1962425660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26831
- Practice address
- 210 Sunset Dr Ste a
Sedona, AZ 86336-5406 - Phone
- (928) 660-6960
- Fax
- (928) 660-6959
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26831 | AZ | Primary |
Addresses
Primary practice location
210 Sunset Dr Ste a
Sedona, AZ 86336-5406
Mailing address
210 Sunset Dr Ste a
Sedona, AZ 86336-5406
Phone (928) 660-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 944555 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 14, 2021 through Sep 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Colorado Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Willard Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Health Partners-Verde Valley PLC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- jason.wesley@348482663350276.direct.elationemr.com
Organizations & group practices 4
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.
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- NPI 1144270315
-
- Emergency Medicine Physician
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- NPI 1023253432
-
- Emergency Medicine Physician
- Winslow, AZ
- NPI 1457363418
-
- Emergency Medicine Physician
- Cottonwood, AZ
- NPI 1598714743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1962425660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SUNSET DR STE A",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365406",
"telephone_number": "928-660-6960",
"fax_number": "928-660-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SUNSET DR STE A",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365406",
"telephone_number": "928-660-6960",
"fax_number": "928-660-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "JASON",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "26831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "944555",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.