JOHN IVERSON
NPI 1467864470
Physician Assistant - Medical in Prescott, AZ

Active since May 24, 2014PECOS EnrolledAccepts Medicare Assignment
743 MILLER VALLEY RD, PRESCOTT, AZ 86301(928) 777-9600(928) 777-9797 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Jul 3, 2018 (2 updates tracked since 2018).

About John Iverson NPPES

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

JOHN IVERSON (NPI 1467864470) is an individual medical provider in Prescott, Arizona, licensed in Arizona (6073) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467864470
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN IVERSON
Location Address743 MILLER VALLEY RDPrescott, AZ 86301-1813
Mailing Address743 Miller Valley RdPrescott, AZ 86301-1813 · (928) 777-9600 · Fax (928) 777-9797
Fax(928) 777-9797
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 24, 2014
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1467864470 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
License Licensed in AZ · 6073
743 MILLER VALLEY RD, Prescott, AZ 86301

Accepted 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

John Iverson 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 ID6901024504
PECOS Enrollment IDI20160511002776
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 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
808 services122 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.
532 services142 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.
111 services77 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
32 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
32 services32 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims33 services$6.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Psychiatric/Mental Health)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Nurse Practitioner (Psychiatric/Mental Health)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Physician Assistant (Medical)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Nurse Practitioner (Psychiatric/Mental Health)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Nurse Practitioner (Family)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Physician Assistant
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Physician Assistant
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Nurse Practitioner (Family)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301

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 John Iverson's NPI number?

The NPI number for John Iverson is 1467864470. It was assigned to this individual provider in the NPPES registry on May 24, 2014.

Where is John Iverson located?

John Iverson practices at 743 Miller Valley Rd, Prescott, AZ 86301. The listed phone number is (928) 777-9600.

What is John Iverson's specialty?

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

Is John Iverson enrolled in Medicare?

Yes. John Iverson 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 John Iverson accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list John Iverson 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 John Iverson was last updated on January 10, 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.