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JESSICA RAE PARKER PA-C
NPI 1629407945
Physician Assistant in Payson, AZ

Active since November 07, 2013PECOS Enrolled
117 E MAIN ST, SUITE A 100, PAYSON, AZ 85541(928) 474-1714(928) 468-7644 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Rae Parker Pa-c NPPES

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

JESSICA RAE PARKER PA-C (NPI 1629407945) is an individual physician assistant in Payson, Arizona, licensed in Idaho (PA-1113) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629407945
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA RAE PARKERCredential: PA-C
Location Address117 E MAIN ST, SUITE A 100Payson, AZ 85541-5293
Mailing Address117 E Main St, Suite A 100Payson, AZ 85541-5293 · (928) 474-1714 · Fax (928) 468-7644
Phone(928) 474-1714
Fax(928) 468-7644
Sole ProprietorNo
Enumeration DateNovember 7, 2013
Last NPPES UpdateFebruary 26, 2015
✔ NPI 1629407945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ID · PA-1113✔ Licensed in AZ · 5518
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.
117 E MAIN ST, Payson, AZ 85541
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rae Parker Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85541 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$41.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers20 claims20 services$97.73 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 2

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

BANNER GOOD SAMARITAN LIVER DISEASE CENTER
Clinic/Center (Multi-Specialty)
117 E MAIN ST, SUITE A
PAYSON, AZ 85541
Gila County (602) 839-4123
SMI IMAGING, LLC
Radiology (Diagnostic Radiology)
117 E MAIN ST, BLDG D, SUITE 100
PAYSON, AZ 85541
Gila County (928) 468-8234

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 Parker's NPI number?

The NPI number for Jessica Parker is 1629407945. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Where is Jessica Parker located?

Jessica Parker practices at 117 E Main St Suite A 100, Payson, AZ 85541. The listed phone number is (928) 474-1714.

What is Jessica Parker's specialty?

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

Is Jessica Parker enrolled in Medicare?

Yes. Jessica Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Parker was last updated on February 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.