JENNIFER ROSE WATRY PA-C
NPI 1295003374
Physician Assistant - Surgical in Scottsdale, AZ

Q: What is Jennifer Watry's NPI number?

The NPI number for Jennifer Watry is 1295003374. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Q: What is Jennifer Watry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Watry was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 05, 2011PECOS Enrolled

54.81/100

CMS Quality Rating

9735 N 90TH PL, SCOTTSDALE, AZ 85258(480) 222-4954(602) 297-6556 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jennifer Rose Watry Pa-c NPPES

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

JENNIFER ROSE WATRY PA-C (NPI 1295003374) is an individual surgical provider in Scottsdale, Arizona, licensed in Arizona (5013) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295003374

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJENNIFER ROSE WATRYCredential: PA-C

Location Address9735 N 90TH PLScottsdale, AZ 85258

Mailing Address9735 N 90th PlScottsdale, AZ 85258-5067 · (480) 222-4954 · Fax (602) 297-6556

Phone(480) 222-4954

Fax(602) 297-6556

Sole ProprietorYes

Enumeration DateDecember 5, 2011

Last NPPES UpdateJune 29, 2018

✔ NPI 1295003374 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 · 5013

9735 N 90TH PL, Scottsdale, AZ 85258

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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)

Jennifer Rose Watry 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.

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.

54.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

82.73

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. ANDREW THOMAS HENDERSON M.D.

Orthopaedic Surgery