JARED ROSS ANDERSON PA-C NPI 1689267890

NPI Information

  • NPI: 1689267890
  • Provider Name: JARED ROSS ANDERSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10561 JEFFREYS ST STE 230
    HENDERSON, NV
    ZIP 89052
  • Phone: (702) 819-8536

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NPI Details

Jared Ross Anderson, PA-C is a medical physician assistant in Henderson, NV with 5 years of experience. Jared Ross Anderson, PA-C NPI is 1689267890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduation Year:2021

The provider's business location address is:

10561 JEFFREYS ST STE 230
HENDERSON, NV
ZIP 89052-268
Phone: (702) 819-8536
Fax: (702) 948-1088

The NPI 1689267890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/18/2021 and was last updated on 10/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363AM0700XPhysician AssistantMedicalPA2709NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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