JACKSON TARAVINE
NPI 1811770910
Physician Assistant - Medical in Surprise, AZ

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
14239 W BELL RD STE 108, SURPRISE, AZ 85374(623) 248-4283 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Taravine NPPES

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

JACKSON TARAVINE (NPI 1811770910) is an individual medical provider in Surprise, Arizona, licensed in Arizona (10227) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811770910
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACKSON TARAVINE
Location Address14239 W BELL RD STE 108Surprise, AZ 85374-2470
Mailing Address1839 S Alma School Rd Ste 354Mesa, AZ 85210-3028 · (480) 726-2287 · Fax (888) 503-3312
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1811770910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 10227
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 70349500001 (AZ), 7047150001 (AZ), 7209350001 (AZ), 7939960001 (AZ), 704516001 (AZ), 7046960001 (AZ), 8220410001 (AZ), 7629170001 (AZ), 7057360001 (AZ)
14239 W BELL RD STE 108, Surprise, AZ 85374

Secondary Practice Locations 8

Location 12145 E Warner Rd Ste 104Tempe, AZ 85284-3549 · Phone (480) 664-9443 · Fax (480) 664-9378
Location 215256 N 75th Ave Ste 360Peoria, AZ 85381-4761 · Phone (623) 486-2424
Location 33130 E Baseline Rd Ste 107Mesa, AZ 85204-7290 · Phone (480) 345-1980 · Fax (480) 926-1721
Location 43011 S Lindsay Rd Ste 101Gilbert, AZ 85295-4333 · Phone (480) 726-2500
Location 52919 S Ellsworth Rd Ste 111Mesa, AZ 85212-2165 · Phone (480) 564-1185 · Fax (480) 590-4375
Location 620860 N Tatum Blvd Ste 290Phoenix, AZ 85050-4282 · Phone (480) 563-1144 · Fax (480) 563-2371
Location 71277 E Missouri Ave Ste 101Phoenix, AZ 85014-2916 · Phone (602) 296-4060 · Fax (602) 296-4146
Location 8270 E Hunt Hwy Ste A-2San Tan Valley, AZ 85143-4962 · Phone (480) 882-2222 · Fax (480) 882-2220

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

Jackson Taravine 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 ID5991240400
PECOS Enrollment IDI20240709002300
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 10

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,023 services13 patients
Placement of strapping to chest 29200
Strapping the chest is a technique used to support muscles or bones in the chest area. This procedure involves applying adhesive strips across the chest to provide stability, reduce movement, and aid in healing. It's often used after injuries or surgeries.
262 services25 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.
192 services28 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
174 services23 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
150 services28 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.
120 services35 patients

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.

Chiropractor
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physical Medicine & Rehabilitation
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physician Assistant (Medical)
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physician Assistant
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physician Assistant (Medical)
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physician Assistant (Medical)
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physician Assistant (Medical)
14239 W BELL RD STE 108
SURPRISE, AZ 85374
Physician Assistant (Medical)
14239 W BELL RD STE 108
SURPRISE, AZ 85374

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 Jackson Taravine's NPI number?

The NPI number for Jackson Taravine is 1811770910. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Jackson Taravine located?

Jackson Taravine practices at 14239 W Bell Rd Ste 108, Surprise, AZ 85374. The listed phone number is (623) 248-4283.

What is Jackson Taravine's specialty?

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

Is Jackson Taravine enrolled in Medicare?

Yes. Jackson Taravine 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 Jackson Taravine accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jackson Taravine 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 Jackson Taravine was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.