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KYLE JERVIS PA-C
NPI 1053846659
Physician Assistant in Goodyear, AZ

Active since April 21, 2017PECOS Enrolled
13677 W MCDOWELL RD # AZ85395, GOODYEAR, AZ 85395(623) 882-1500 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2023, Jul 25, 2022, Aug 18, 2017 and 2 more (5 updates tracked since 2017).

About Kyle Jervis Pa-c NPPES

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

KYLE JERVIS PA-C (NPI 1053846659) is an individual physician assistant in Goodyear, Arizona, licensed in Arizona (7195) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053846659
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE JERVISCredential: PA-C
Location Address13677 W MCDOWELL RD # AZ85395Goodyear, AZ 85395-2635
Mailing Address19947 W Rancho DrLitchfield Park, AZ 85340-2667 · (602) 740-0131
Phone(623) 882-1500
Sole ProprietorNo
Enumeration DateApril 21, 2017
Last NPPES UpdateJune 9, 20235 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1053846659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 7195✔ Licensed in MD · C06468
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.
13677 W MCDOWELL RD # AZ85395, Goodyear, AZ 85395
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Jervis Pa-c 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
107 services105 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
49 services47 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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.

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 Kyle Jervis's NPI number?

The NPI number for Kyle Jervis is 1053846659. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Kyle Jervis located?

Kyle Jervis practices at 13677 W Mcdowell Rd # Az85395, Goodyear, AZ 85395. The listed phone number is (623) 882-1500.

What is Kyle Jervis's specialty?

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

Is Kyle Jervis enrolled in Medicare?

Yes. Kyle Jervis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Jervis was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.