JEANNETTE VAUGHN-DOTTERER DMSC, PA-C
NPI 1407859416
Physician Assistant in Phoenix, AZ

Q: What is Jeannette Vaughn-dotterer's NPI number?

The NPI number for Jeannette Vaughn-dotterer is 1407859416. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Jeannette Vaughn-dotterer's specialty?

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

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

9610 N METRO PKWY W, PHOENIX, AZ 85051(480) 964-2273(602) 843-1560 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeannette Vaughn-dotterer Dmsc, Pa-c NPPES

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

JEANNETTE VAUGHN-DOTTERER DMSC, PA-C (NPI 1407859416) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (2896) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1407859416

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJEANNETTE VAUGHN-DOTTERERCredential: DMSC, PA-C

Location Address9610 N METRO PKWY WPhoenix, AZ 85051-1402

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (480) 964-2273 · Fax (623) 974-6721

Phone(480) 964-2273

Fax(602) 843-1560

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 23, 2005

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1407859416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 2896

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.

9610 N METRO PKWY W, Phoenix, AZ 85051

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Other Identifiers 1

Medicaid831330AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Jeannette Vaughn-dotterer Dmsc, 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 ID4789678699

PECOS Enrollment IDI20040413001289

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85051 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.

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.

ELIZA FABIAN LPC

Counselor (Professional)