MR. JERRY M PARSONS (P.A.C./A.T.C.) – Physician Assistant, NPI 1871596858

MR. JERRY M PARSONS (P.A.C./A.T.C.) is a healthcare provider. based in Warsaw, Indiana. specializing in Physician Assistant. They hold the professional credentials P.A.C./A.T.C.. They hold a License No. 10000250A (IN). The NPI Number for MR. JERRY M PARSONS (P.A.C./A.T.C.) is 1871596858

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. JERRY M PARSONS (P.A.C./A.T.C.)
NPI
1871596858
Phone
(574) 372-7637
Address
1500 PROVIDENT DR STE A
Enumeration Date
24 May 2005
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5747734151
Graduation Year
1994 (32 years ago)
PAC ID
2466406046
Group Practice PAC ID
3476526476
Professional Enrollment ID
I20050307000361

Contacts

Secure Messaging
jerry.parsons@lutheranhealthnetwork.cerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

Provider Addresses for MR. JERRY M PARSONS (P.A.C./A.T.C.)

  • 1500 PROVIDENT DR STE A

    WARSAW, IN 465803297

    Phone: (574) 372-7637

    Fax: (574) 372-7689

    Type: Mailing

  • 7333 W Jefferson Blvd

    Fort Wayne, IN 468046280

    Phone: (260) 435-7839

    Fax: (260) 435-7747

    Type: Location

  • 107 W PICKWICK DR

    SYRACUSE, IN 465671832

    Phone: (574) 457-8585

    Fax: (260) 479-2913

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Silk Road Medical, Inc. ($93).

Total Amount

$314

General + Research + Ownership

Payments

14

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050307000361IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6557$0
99214Established patient office or other outpatient visit, 30-39 minutes4139$0
99202New patient office or other outpatient visit, 15-29 minutes3232$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
81003Automated urinalysis test1615$0
View full utilization report →

Insurance plans in this area (ZIP 46580)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476526476View full group profile
NameSpecialtyState
-IN
-IN
Physician AssistantIN
Nurse PractitionerIN
Physician AssistantIN
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN
-IN

Reviews

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Frequently asked questions

How do payers reference MR. JERRY M PARSONS (P.A.C./A.T.C.)?
For MR. JERRY M PARSONS (P.A.C./A.T.C.), use NPI 1871596858 as the unique 10-digit identifier.
Would MR. JERRY M PARSONS (P.A.C./A.T.C.) appear as active to a payer?
You can treat MR. JERRY M PARSONS (P.A.C./A.T.C.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. JERRY M PARSONS (P.A.C./A.T.C.)?
MR. JERRY M PARSONS (P.A.C./A.T.C.) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JERRY M PARSONS (P.A.C./A.T.C.)?
Travel planning: use Warsaw, Indiana as the reference point for MR. JERRY M PARSONS (P.A.C./A.T.C.), then confirm.
Can I trust this NPI listing for MR. JERRY M PARSONS (P.A.C./A.T.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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