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JARED TOLLER
NPI 1396341293
Physician Assistant - Medical in Henderson, NV

Active since December 07, 2020PECOS Enrolled
93 MOON HILL DR, HENDERSON, NV 89011(818) 825-1733 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 8, 2023, Dec 7, 2020 (2 updates tracked since 2020).

About Jared Toller NPPES

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

JARED TOLLER (NPI 1396341293) is an individual medical provider in Henderson, Nevada, licensed in Nevada (PA2770) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396341293
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJARED TOLLER
Location Address93 MOON HILL DRHenderson, NV 89011-3799
Mailing Address93 Moon Hill DrHenderson, NV 89011-3799 · (818) 825-1733
Phone(818) 825-1733
Sole ProprietorYes
Enumeration DateDecember 7, 2020
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1396341293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NV · PA2770✔ Licensed in CA · 59134✔ Licensed in UT · 13382949-1206
93 MOON HILL DR, Henderson, NV 89011
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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)

Jared Toller 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.

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 Jared Toller's NPI number?

The NPI number for Jared Toller is 1396341293. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Jared Toller located?

Jared Toller practices at 93 Moon Hill Dr, Henderson, NV 89011. The listed phone number is (818) 825-1733.

What is Jared Toller's specialty?

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

Is Jared Toller enrolled in Medicare?

Yes. Jared Toller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Toller was last updated on May 8, 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.