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MR. JEFFREY FRANKLIN WILLARD PA-C
NPI 1245713031
Physician Assistant - Surgical in Prescott, AZ

Active since September 08, 2018PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
1001 WILLOW CREEK RD STE 3200, PRESCOTT, AZ 86301(602) 406-4786(916) 636-4358 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2025, Dec 11, 2024, Mar 5, 2021 and 4 more (7 updates tracked since 2018).

About Mr. Jeffrey Franklin Willard Pa-c NPPES

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

MR. JEFFREY FRANKLIN WILLARD PA-C (NPI 1245713031) is an individual surgical provider in Prescott, Arizona, licensed in Arizona (10616) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1245713031
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JEFFREY FRANKLIN WILLARDCredential: PA-C
Location Address1001 WILLOW CREEK RD STE 3200Prescott, AZ 86301-1614
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358
Phone(602) 406-4786
Fax(916) 636-4358
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateSeptember 8, 2018
Last NPPES UpdateJanuary 8, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1245713031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 10616
1001 WILLOW CREEK RD STE 3200, Prescott, AZ 86301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17910 W Jefferson Blvd Ste 102Fort Wayne, IN 46804-4159 · Phone (260) 458-3555 · Fax (260) 458-3530
Location 2707 W 2nd StBloomington, IN 47403-2209 · Phone (812) 334-5081 · Fax (812) 334-5091

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeffrey Franklin Willard Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365796497
PECOS Enrollment IDI20241113003341
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 2

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
18 services18 patients
Coronary artery bypass using vein or artery graft, 3 grafts 33519
A coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

RONALD D SMITH JR. M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 WILLOW CREEK RD STE 3200
PRESCOTT, AZ 86301
Yavapai County (928) 771-5595
JESSICA LEE LEVASSEUR PA-C
Physician Assistant (Surgical)
1001 WILLOW CREEK RD STE 3200
PRESCOTT, AZ 86301
Yavapai County (928) 771-5595

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 Jeffrey Willard's NPI number?

The NPI number for Jeffrey Willard is 1245713031. It was assigned to this individual provider in the NPPES registry on September 8, 2018.

Where is Jeffrey Willard located?

Jeffrey Willard practices at 1001 Willow Creek Rd Ste 3200, Prescott, AZ 86301. The listed phone number is (602) 406-4786.

What is Jeffrey Willard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeffrey Willard enrolled in Medicare?

Yes. Jeffrey Willard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Willard accept?

Health plans from Blue Cross Blue Shield of Arizona and CareSource list Jeffrey Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Willard was last updated on January 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.