JENNA BROOKE PREWITT PA-C
NPI 1174863112
Physician Assistant - Medical in Mesa, AZ

Q: What is Jenna Prewitt's NPI number?

The NPI number for Jenna Prewitt is 1174863112. It was assigned to this individual provider in the NPPES registry on February 28, 2013. The provider is also known as Jenna Brooke Kaitz Pa-C.

Q: What is Jenna Prewitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Prewitt was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 28, 2013

1950 S COUNTRY CLUB DR STE 101, MESA, AZ 85210(480) 827-5500 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2019, Apr 1, 2019 (2 updates tracked since 2019).

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About Jenna Brooke Prewitt Pa-c NPPES

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

JENNA BROOKE PREWITT PA-C (NPI 1174863112) is an individual medical provider in Mesa, Arizona, licensed in Arizona (5351) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1174863112

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNA BROOKE PREWITTCredential: PA-C

Location Address1950 S COUNTRY CLUB DR STE 101Mesa, AZ 85210-6044

Mailing Address8408 E Sage DrScottsdale, AZ 85250-6740 · (480) 827-5500

Phone(480) 827-5500

Sole ProprietorNo

Enumeration DateFebruary 28, 2013

Last NPPES UpdateJune 5, 20192 updates tracked since enumeration

✔ NPI 1174863112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 5351

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5351 (AZ)

1950 S COUNTRY CLUB DR STE 101, Mesa, AZ 85210

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Other Names 1

Former Name (1)Jenna Brooke Kaitz Pa-c

Other Providers at the Same Location NPPES

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

ANGELA FENG

Family Medicine

1950 S COUNTRY CLUB DR STE 101
MESA, AZ 85210

Maricopa County (480) 827-5500

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 Jenna Prewitt's NPI number?

The NPI number for Jenna Prewitt is 1174863112. It was assigned to this individual provider in the NPPES registry on February 28, 2013. The provider is also known as Jenna Brooke Kaitz Pa-C.

Where is Jenna Prewitt located?

Jenna Prewitt practices at 1950 S Country Club Dr Ste 101, Mesa, AZ 85210. The listed phone number is (480) 827-5500.

What is Jenna Prewitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jenna Prewitt was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.