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JAKE GIFFORD
NPI 1922675321
Physician Assistant - Medical in Henderson, NV

Active since June 06, 2021PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
3001 SAINT ROSE PKWY, HENDERSON, NV 89052(702) 616-5615(702) 616-5120 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, Jul 23, 2021, Jun 6, 2021 (3 updates tracked since 2021).

About Jake Gifford NPPES

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

JAKE GIFFORD (NPI 1922675321) is an individual medical provider in Henderson, Nevada, licensed in Nevada (PA3131) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1922675321
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAKE GIFFORD
Location Address3001 SAINT ROSE PKWYHenderson, NV 89052-3839
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(702) 616-5615
Fax(702) 616-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 6, 2021
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1922675321 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 NV · PA3131
3001 SAINT ROSE PKWY, Henderson, NV 89052
Open in Google Maps ↗

Secondary Practice Location 1

Location 18280 W Warm Springs RdLas Vegas, NV 89113-3612 · Phone (702) 492-8614 · Fax (702) 492-8163

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

Jake Gifford 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 ID3476957572
PECOS Enrollment IDI20250728003476
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 20

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

EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (330) 493-4443
HEID M BEYERSDORF MD
Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (330) 493-4443
DR. ELIZABETH GONZALEZ PHARMD
Pharmacist (Pharmacotherapy)
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (702) 616-5441
JAMES R DAVIDSON MD
Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (330) 493-4443
RICHARD HENDERSON MD
Emergency Medicine
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (330) 493-4443
DR. TODD ANTHONY KOCIANCIC PHARM.D.
Pharmacist (Pharmacotherapy)
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (702) 616-5540
SWIFT'S CHILDREN'S CRITICAL CARE NETWORK
Pediatrics (Pediatric Critical Care Medicine)
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (888) 350-2911
MS. LINDA RHEE DEVAULL RN
Registered Nurse
3001 SAINT ROSE PKWY
HENDERSON, NV 89052
Clark County (702) 616-5000

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 Jake Gifford's NPI number?

The NPI number for Jake Gifford is 1922675321. It was assigned to this individual provider in the NPPES registry on June 6, 2021.

Where is Jake Gifford located?

Jake Gifford practices at 3001 Saint Rose Pkwy, Henderson, NV 89052. The listed phone number is (702) 616-5615.

What is Jake Gifford's specialty?

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

Is Jake Gifford enrolled in Medicare?

Yes. Jake Gifford 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.

Is Jake Gifford affiliated with any hospitals?

According to CMS data, Jake Gifford is affiliated with Saint Rose Dominican Hospitals - Siena Campus.

When was this NPI record last updated?

The NPPES record for Jake Gifford was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.