Jerrica Park, PA-C
NPI 1245821669 · Community/Behavioral Health Agency · Flagstaff, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerrica Park, PA-C is a Community/Behavioral Health Agency provider in Flagstaff, AZ (NPI 1245821669).
Provider details
- NPI number
- 1245821669
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9452 (AZ)
Specialties & taxonomies
Agencies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8705 E Mcdowell RdScottsdale, AZ 85257-3909Phone: (480) 882-4545Fax: (480) 946-6997
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is Jerrica Park's NPI number?
- Jerrica Park's National Provider Identifier (NPI) is 1245821669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerrica Park's specialty?
- Jerrica Park is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).
- Where is Jerrica Park located?
- Jerrica Park's practice location on file with NPPES is 1120 W University Ave Ste 101, Flagstaff, AZ 86001-2851.
- What is Jerrica Park's phone number?
- The practice phone number listed in the NPPES registry for Jerrica Park is (928) 522-1300.
- Does Jerrica Park accept Medicare?
- Jerrica Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerrica Park's NPI active?
- Yes — Jerrica Park's NPI (1245821669) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.