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JESSICA DETTRA P.A.
NPI 1467774554
Physician Assistant in Mesa, AZ

Active since February 17, 2010PECOS EnrolledAccepts Medicare Assignment
2550 N THUNDERBIRD CIR, SUITE 303, MESA, AZ 85215(480) 289-7890(866) 441-6493 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Dettra P.a. NPPES

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

JESSICA DETTRA P.A. (NPI 1467774554) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (4585) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467774554
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA DETTRACredential: P.A.
Location Address2550 N THUNDERBIRD CIR, SUITE 303Mesa, AZ 85215-1215
Mailing Address2550 N Thunderbird Cir, Suite 303Mesa, AZ 85215-1215 · (480) 289-7890 · Fax (866) 441-6493
Phone(480) 289-7890
Fax(866) 441-6493
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 17, 2010
✔ NPI 1467774554 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 · 4585
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.
2550 N THUNDERBIRD CIR, Mesa, AZ 85215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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

Jessica Dettra P.a. 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 ID6608904925
PECOS Enrollment IDI20100507000028
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 7

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.

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.
85 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services31 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
32 services27 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
16 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85215 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 7

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

TESS C CHARLES PA-C
Physician Assistant
2550 N THUNDERBIRD CIR, SUITE 303
MESA, AZ 85215
Maricopa County (480) 289-7890
LOIS E BRENNEMAN FNP
Nurse Practitioner (Family)
2550 N THUNDERBIRD CIR
MESA, AZ 85215
Maricopa County (480) 353-2235
MARTIN J GRUENBERG DO
Preventive Medicine (Occupational Medicine)
2550 N THUNDERBIRD CIR, SUITE 303
MESA, AZ 85215
Maricopa County (480) 776-1603
MS. MINDI MIRGELER PAC
Physician Assistant (Medical)
2550 N THUNDERBIRD CIR, SUITE 303
MESA, AZ 85215
Maricopa County (480) 924-8382
DR. ROBERT J FURMAN M.D.
Internal Medicine
2550 N THUNDERBIRD CIR, SUITE 303
MESA, AZ 85215
Maricopa County (480) 924-8382
NEXTCARE PRIMARY CARE SOUTH TEXAS PLLC
Family Medicine
2550 N THUNDERBIRD CIR
MESA, AZ 85215
Maricopa County (480) 776-1600
PHYTCARE LLC
Physical Medicine & Rehabilitation
2550 N THUNDERBIRD CIR, STE 303
MESA, AZ 85215
Maricopa County (800) 849-5609

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 Jessica Dettra's NPI number?

The NPI number for Jessica Dettra is 1467774554. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Where is Jessica Dettra located?

Jessica Dettra practices at 2550 N Thunderbird Cir Suite 303, Mesa, AZ 85215. The listed phone number is (480) 289-7890.

What is Jessica Dettra's specialty?

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

Is Jessica Dettra enrolled in Medicare?

Yes. Jessica Dettra 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.

What insurance does Jessica Dettra accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jessica Dettra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Dettra was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.