What is Jackson Taravine's NPI number?

Jackson Taravine's National Provider Identifier (NPI) is 1811770910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackson Taravine's specialty?

Jackson Taravine is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Jackson Taravine located?

Jackson Taravine's practice location on file with NPPES is 14239 W Bell Rd Ste 108, Surprise, AZ 85374-2470.

What is Jackson Taravine's phone number?

The practice phone number listed in the NPPES registry for Jackson Taravine is (623) 248-4283.

Does Jackson Taravine accept Medicare?

Jackson Taravine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Jackson Taravine's NPI active?

Yes — Jackson Taravine's NPI (1811770910) is active in the NPPES registry as of the last update on 2024-05-21.

IndividualActiveAccepts Medicare

Jackson Taravine

NPI 1811770910 · Medical Physician Assistant · Surprise, AZ

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Jackson Taravine is a Medical Physician Assistant provider in Surprise, AZ (NPI 1811770910).

Provider details

NPI number: 1811770910
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: Yes
License: 70349500001 (AZ)

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense 10227 (AZ)
Physician Assistants & Advanced Practice Nursing Providers
Durable Medical Equipment & Medical Supplies332B00000XLicense 70349500001 (AZ)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000XLicense 7047150001 (AZ)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000XLicense 7209350001 (AZ)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000XLicense 7939960001 (AZ)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
2 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
9 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
2,089 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. 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.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Test for Allergy Using Allergenic Extract95004	1,023	$3
Placement of Strapping to Chest29200	262	$21
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	192	$75
Professional Service for Multiple Injections of Allergen95117	174	$10
Ultrasonic Guidance for Needle Placement76942	150	$48
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	120	$105

Practice location

14239 W Bell Rd Ste 108

Surprise, AZ 85374-2470

Phone: (623) 248-4283

Street-level locationGet directions

More AZ providers

Mailing address

1839 S Alma School Rd Ste 354

Mesa, AZ 85210-3028

Additional practice locations (8)

3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295-4333
Phone: (480) 726-2500
3130 E Baseline Rd Ste 107
Mesa, AZ 85204-7290
Phone: (480) 345-1980
Fax: (480) 926-1721
2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165
Phone: (480) 564-1185
Fax: (480) 590-4375
15256 N 75th Ave Ste 360
Peoria, AZ 85381-4761
Phone: (623) 486-2424
20860 N Tatum Blvd Ste 290
Phoenix, AZ 85050-4282
Phone: (480) 563-1144
Fax: (480) 563-2371
1277 E Missouri Ave Ste 101
Phoenix, AZ 85014-2916
Phone: (602) 296-4060
Fax: (602) 296-4146
270 E Hunt Hwy Ste A-2
San Tan Valley, AZ 85143-4962
Phone: (480) 882-2222
Fax: (480) 882-2220
2145 E Warner Rd Ste 104
Tempe, AZ 85284-3549
Phone: (480) 664-9443
Fax: (480) 664-9378

Enumerated: 2023-08-14
Last updated: 2024-05-21
Certified: 2024-05-21

Frequently asked questions

What is Jackson Taravine's NPI number?: Jackson Taravine's National Provider Identifier (NPI) is 1811770910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jackson Taravine's specialty?: Jackson Taravine is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is Jackson Taravine located?: Jackson Taravine's practice location on file with NPPES is 14239 W Bell Rd Ste 108, Surprise, AZ 85374-2470.
What is Jackson Taravine's phone number?: The practice phone number listed in the NPPES registry for Jackson Taravine is (623) 248-4283.
Does Jackson Taravine accept Medicare?: Jackson Taravine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Jackson Taravine's NPI active?: Yes — Jackson Taravine's NPI (1811770910) is active in the NPPES registry as of the last update on 2024-05-21.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.