JANE ELIZABETH HARTIGAN
NPI 1417594318
Physician Assistant - Surgical in Santa Rosa, CA

Active since December 10, 2019PECOS EnrolledAccepts Medicare Assignment
84.94/100
CMS Quality Rating
416 AVIATION BLVD STE B, SANTA ROSA, CA 95403(707) 703-2617 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane Elizabeth Hartigan NPPES

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

JANE ELIZABETH HARTIGAN (NPI 1417594318) is an individual surgical provider in Santa Rosa, California, licensed in California (57589) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417594318
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJANE ELIZABETH HARTIGAN
Location Address416 AVIATION BLVD STE BSanta Rosa, CA 95403-1032
Mailing Address416 Aviation Blvd Ste BSanta Rosa, CA 95403-1032 · (707) 703-2617
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 10, 2019
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1417594318 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 CA · 57589
416 AVIATION BLVD STE B, Santa Rosa, CA 95403

Secondary Practice Location 1

Location 12999 Regent St Ste 225Berkeley, CA 94705-2117 · Phone (510) 704-7760 · Fax (510) 506-7725

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

Jane Elizabeth Hartigan 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 ID8820485287
PECOS Enrollment IDI20220503002918
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 19

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328
Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.
34,608 services50 patients
Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331
Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
5,321 services65 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
671 services109 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
544 services206 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
332 services225 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services104 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.

84.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.57
Promoting Interoperability99
Improvement Activities40
Cost72.06

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 Jane Hartigan's NPI number?

The NPI number for Jane Hartigan is 1417594318. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Jane Hartigan located?

Jane Hartigan practices at 416 Aviation Blvd Ste B, Santa Rosa, CA 95403. The listed phone number is (707) 703-2617.

What is Jane Hartigan's specialty?

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

Is Jane Hartigan enrolled in Medicare?

Yes. Jane Hartigan 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.

When was this NPI record last updated?

The NPPES record for Jane Hartigan was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.