JUNIPER DERY-CHAFFIN PA-C
NPI 1457800302
Physician Assistant in Phoenix, AZ

Q: What is Juniper Dery-chaffin's NPI number?

The NPI number for Juniper Dery-chaffin is 1457800302. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Q: What is Juniper Dery-chaffin's specialty?

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

Active since October 03, 2016PECOS EnrolledAccepts Medicare Assignment

1515 E OSBORN RD, PHOENIX, AZ 85014(602) 604-0000 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Juniper Dery-chaffin Pa-c NPPES

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

JUNIPER DERY-CHAFFIN PA-C (NPI 1457800302) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6500) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457800302

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJUNIPER DERY-CHAFFINCredential: PA-C

Location Address1515 E OSBORN RDPhoenix, AZ 85014-5309

Mailing Address1241 W Knox PlTucson, AZ 85705-2505 · (520) 465-7259

Phone(602) 604-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 3, 2016

Last NPPES UpdateNovember 21, 2024

NPPES CertifiedNovember 21, 2024

✔ NPI 1457800302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 6500

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 6500 (AZ)

1515 E OSBORN RD, Phoenix, AZ 85014

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Other Identifiers 1

Other6500AZ · State Of Arizona License

Accepted Insurance

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

Juniper Dery-chaffin 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 ID749547347

PECOS Enrollment IDI20171207001256

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 85014 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 8

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

MARTIN ROMEO TAMOU PMHNP

Nurse Practitioner (Psychiatric/Mental Health)