MRS. JESSICA HARRIS RACKLEY PA-C
NPI 1023331030
Physician Assistant - Medical in Luke Afb, AZ
About Mrs. Jessica Harris Rackley Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA HARRIS RACKLEY PA-C (NPI 1023331030) is an individual medical provider in Luke Afb, Arizona and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jessica Harris Rackley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LUKE AFB, AZ 85309
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Rackley's NPI number?
The NPI number for Jessica Rackley is 1023331030. It was assigned to this individual provider in the NPPES registry on March 4, 2010. The provider is also known as Miss Jessica Harris Friday Pa-C.
Where is Jessica Rackley located?
Jessica Rackley practices at 7219 N Litchfield Rd, Luke Afb, AZ 85309. The listed phone number is (623) 856-9752.
What is Jessica Rackley's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jessica Rackley enrolled in Medicare?
Yes. Jessica Rackley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessica Rackley was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Jessica Harris Rackley, PA-C · NPI 1023331030
Medical physician in Luke Afb, Arizona. Individual provider, active in the CMS NPPES registry since March 4, 2010.
## Identity
- **NPI:** 1023331030 (Entity type: Individual)
- **Enumerated:** March 4, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 7219 N LITCHFIELD RD, Luke Afb, AZ 85309-1529
- **Phone:** (623) 856-9752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 21, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1023331030) · Data from the CMS NPPES public registry.