MR. BRUCE A MORTENSEN PA
NPI 1013305283
Physician Assistant in Flagstaff, AZ

Q: What is Bruce Mortensen's NPI number?

The NPI number for Bruce Mortensen is 1013305283. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Q: What is Bruce Mortensen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Mortensen was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2014PECOS Enrolled

2000 S THOMPSON ST, FLAGSTAFF, AZ 86001(928) 226-6400(928) 226-6410 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Oct 25, 2019 (2 updates tracked since 2019).

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About Mr. Bruce A Mortensen Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRUCE A MORTENSEN PA (NPI 1013305283) is an individual physician assistant in Flagstaff, Arizona and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013305283

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. BRUCE A MORTENSENCredential: PA

Location Address2000 S THOMPSON STFlagstaff, AZ 86001-8759

Mailing Address1110 E Route 66 Ste 100Flagstaff, AZ 86001-4772 · (928) 773-9695 · Fax (928) 773-0208

Phone(928) 226-6400

Fax(928) 226-6410

Sole ProprietorNo

Enumeration DateDecember 22, 2014

Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1013305283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2000 S THOMPSON ST, Flagstaff, AZ 86001

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Secondary Practice Locations 2

Location 11713 S Church StBurlington, NC 27215-5630 · Phone (336) 222-8888

Location 2794 S Main St Ste BKernersville, NC 27284-4074 · Phone (336) 996-2173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bruce A Mortensen Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH LYNN SALCE DNP

Nurse Practitioner (Acute Care)