MR. JEFFREY S. BOSLEY MPAS
NPI 1922073196
Physician Assistant - Medical in Phoenix, AZ

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
4512 N 40TH ST, PHOENIX, AZ 85018(602) 954-7546(602) 952-2941 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeffrey S. Bosley Mpas NPPES

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

MR. JEFFREY S. BOSLEY MPAS (NPI 1922073196) is an individual medical provider in Phoenix, Arizona, licensed in North Carolina (0010-02321) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1922073196
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JEFFREY S. BOSLEYCredential: MPAS
Location Address4512 N 40TH STPhoenix, AZ 85018-3604
Mailing Address4512 N 40th StPhoenix, AZ 85018-3604 · (602) 954-7546 · Fax (602) 952-2941
Fax(602) 952-2941
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJanuary 25, 2016
NPI 1922073196 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 NC · 0010-02321
4512 N 40TH ST, Phoenix, AZ 85018

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

Mr. Jeffrey S. Bosley Mpas 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 ID1153555404
PECOS Enrollment IDI20160823000128
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4512 N 40TH ST
PHOENIX, AZ 85018
Dermatology
4512 N 40TH ST
PHOENIX, AZ 85018
Physician Assistant (Medical)
4512 N 40TH ST
PHOENIX, AZ 85018
Dermatology
4512 N 40TH ST
PHOENIX, AZ 85018
Dermatology (MOHS-Micrographic Surgery)
4512 N 40TH ST
PHOENIX, AZ 85018

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 Jeffrey Bosley's NPI number?

The NPI number for Jeffrey Bosley is 1922073196. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Jeffrey Bosley located?

Jeffrey Bosley practices at 4512 N 40th St, Phoenix, AZ 85018. The listed phone number is (602) 954-7546.

What is Jeffrey Bosley's specialty?

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

Is Jeffrey Bosley enrolled in Medicare?

Yes. Jeffrey Bosley 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 Jeffrey Bosley accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Jeffrey Bosley 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 Jeffrey Bosley was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.