JENNIFER KATHLEEN AVERY PA-C NPI 1700101367

Physician Assistant in Phoenix, AZ

NPI 1700101367 Individual Female Physician Assistant PECOS Enrolled

NPI Profile for JENNIFER KATHLEEN AVERY PA-C

Jennifer Avery is a primary care provider established in Phoenix, Arizona and her medical specialization is physician assistant. The NPI number of Jennifer Avery is 1700101367 and was assigned on April 2010. The practitioner's primary taxonomy code is 363A00000X with license number TL1517 (SC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A primary care provider (PCP) like Jennifer Kathleen Avery Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jennifer Avery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Jennifer Avery is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1700101367

Provider Name JENNIFER KATHLEEN AVERY PA-C
Provider Location Address4212 N 16TH ST PHOENIX, AZ 85016
Provider Mailing AddressPO BOX 31001-0698 PASADENA, CA 91110
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-07-2010
Last Update Date01-02-2014


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.TL1517
License StateSC
Taxonomy DescriptionA 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.

Business Address

JENNIFER KATHLEEN AVERY PA-C
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Fax: (602) 200-5383

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Mailing Address

JENNIFER KATHLEEN AVERY PA-C
PO BOX 31001-0698
PASADENA, CA
ZIP 91110
Phone: (602) 263-1200
Fax: (602) 200-5383



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant017208NYNo

Taxonomy Description: 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.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700101367
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700202312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 2 + 0 + 2 + 3 + 1 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1700101367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073515326MR. KAI L CHIU RPH
Individual
Pharmacist4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1511
1811993603MS. KAREN L ALLEN RN/CNM
Individual
Nurse Practitioner (Obstetrics & Gynecology)4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1154313823DR. HUNG D LE MD
Individual
Pediatrics4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1551
1285629196 ANN LOUISE GORMAN PHARMD RPH
Individual
Pharmacist4212 N 16TH ST PHARMACY
PHOENIX, AZ 85016
(602) 263-1664
1194708396MR. JAMES M BENNETT M.D.
Individual
Family Medicine4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1427036847MS. SUSAN BONFIGLIO PA-C
Individual
Physician Assistant (Medical)4212 N 16TH ST
PHOENIX, AZ 85016
(602) 200-5325
1730167065DR. PAUL R BLOOMQUIST MD
Individual
Family Medicine4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1511
1043280902 DAVID BARRETT COLLIER DDS
Individual
Dentist (General Practice)4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1205807005 KORI L SINGLETON MD
Individual
Family Medicine4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1609840495DR. SHARYN HEALY OD
Individual
Optometrist4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1386619062DR. KEVIN KOLENDA OD
Individual
Optometrist4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1528020856 ROSA MARIA BANUELOS M.D.
Individual
Family Medicine4212 N 16TH ST STE 201
PHOENIX, AZ 85016
(602) 263-1200
1841253036DR. HERMAN ALLEN DOBBS III MD
Individual
Family Medicine4212 N 16TH ST
PHOENIX, AZ 85016
(602) 768-8003
1235193327 BARBARA K. MCLAURIN M.D.
Individual
Emergency Medicine4212 N 16TH ST EMERGENCY DEPARTMENT
PHOENIX, AZ 85016
(602) 263-1200
1487619607DR. ADAM L PRAWZINSKY M.D.
Individual
Otolaryngology4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1639135296DR. MARIEL STROSCHEIN M.D.
Individual
Otolaryngology4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1033167168 ANN MARIE DOLL CNM
Individual
Nurse Practitioner (Obstetrics & Gynecology)4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1730135724 JULIE M FANGER MSCCCA
Individual
Audiologist4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1511
1780623363DR. ROBERT ALLEN GREENBERGER MD
Individual
Anesthesiology4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200
1154364214 JAMES O POSEVER MD
Individual
Internal Medicine (Rheumatology)4212 N 16TH ST
PHOENIX, AZ 85016
(602) 263-1200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Jennifer Kathleen Avery Pa-c is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.