JERROLD PAUL ELLIOTT III PA-C
NPI 1982854618
Physician Assistant - Medical in Guerneville, CA

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
16319 THIRD STREET, GUERNEVILLE, CA 95446(707) 869-5977(707) 869-5983 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerrold Paul Elliott Iii Pa-c NPPES

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

JERROLD PAUL ELLIOTT III PA-C (NPI 1982854618) is an individual medical provider in Guerneville, California, licensed in California (PA20527) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1982854618
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJERROLD PAUL ELLIOTT IIICredential: PA-C
Location Address16319 THIRD STREETGuerneville, CA 95446
Mailing AddressPo Box 1449Guerneville, CA 95446-1449 · (707) 869-5977 · Fax (707) 869-5983
Fax(707) 869-5983
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
NPI 1982854618 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 CA · PA20527
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2666 (CO)
16319 THIRD STREET, Guerneville, CA 95446

Other Identifiers 1

Medicaid1356344758CA

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

Jerrold Paul Elliott Iii Pa-c 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 ID9830251263
PECOS Enrollment IDI20160604000075
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 6

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.

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.
353 services339 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services43 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services23 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

Other Providers at the Same Location NPPES 9

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

Psychologist
16319 THIRD STREET
GUERNEVILLE, CA 95446
Nurse Practitioner (Community Health)
16319 THIRD STREET
GUERNEVILLE, CA 95446
Nurse Practitioner (Family)
16319 THIRD STREET
GUERNEVILLE, CA 95446
Nurse Practitioner (Family)
16319 THIRD STREET
GUERNEVILLE, CA 95446
Clinic/Center (Federally Qualified Health Center (FQHC))
16319 THIRD STREET
GUERNEVILLE, CA 95446
Family Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446
Family Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446
Internal Medicine
16319 THIRD STREET
GUERNEVILLE, CA 95446

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 Jerrold Elliott's NPI number?

The NPI number for Jerrold Elliott is 1982854618. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Jerrold Elliott located?

Jerrold Elliott practices at 16319 Third Street, Guerneville, CA 95446. The listed phone number is (707) 869-5977.

What is Jerrold Elliott's specialty?

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

Is Jerrold Elliott enrolled in Medicare?

Yes. Jerrold Elliott 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.

When was this NPI record last updated?

The NPPES record for Jerrold Elliott was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.