FARTUN A JAMA
NPI 1972014900
Physician Assistant - Medical in San Luis, AZ

Active since October 17, 2017PECOS EnrolledAccepts Medicare Assignment
815 E JUAN SANCHEZ BLVD, SAN LUIS, AZ 85349(928) 627-3822 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2019, Apr 26, 2018, Oct 17, 2017 (3 updates tracked since 2017).

About Fartun A Jama NPPES

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

FARTUN A JAMA (NPI 1972014900) is an individual medical provider in San Luis, Arizona, licensed in Arizona (6792) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972014900
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameFARTUN A JAMA
Location Address815 E JUAN SANCHEZ BLVDSan Luis, AZ 85349
Mailing Address2060 W 24th StYuma, AZ 85364-6123 · (928) 819-8999
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 17, 2017
Last NPPES UpdateFebruary 14, 20193 updates tracked since enumeration
NPI 1972014900 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 AZ · 6792
815 E JUAN SANCHEZ BLVD, San Luis, AZ 85349

Other Identifiers 1

Medicaid321252AZ

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

Fartun A Jama 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 ID2567728157
PECOS Enrollment IDI20171115001059
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 3

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

Pediatrics
815 E JUAN SANCHEZ BLVD
SAN LUIS, AZ 85349
Clinic/Center (Radiology)
815 E JUAN SANCHEZ BLVD
SAN LUIS, AZ 85349
Dentist (General Practice)
815 E JUAN SANCHEZ BLVD
SAN LUIS, AZ 85349

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 Fartun Jama's NPI number?

The NPI number for Fartun Jama is 1972014900. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Fartun Jama located?

Fartun Jama practices at 815 E Juan Sanchez Blvd, San Luis, AZ 85349. The listed phone number is (928) 627-3822.

What is Fartun Jama's specialty?

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

Is Fartun Jama enrolled in Medicare?

Yes. Fartun Jama 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 Fartun Jama accept?

Health plans from Imperial Insurance Companies, Inc. and UnitedHealthcare list Fartun Jama 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 Fartun Jama was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.