Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Duane Gunnell, PA-C

Individual provider Physician Assistant · NPI 1366791873

Jared Duane Gunnell, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2012, 14 years ago. Practices with Kerry S Green MD PLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6112 E Brown Rd
Mesa, AZ 85205-4955
Phone: (480) 924-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AZ)

Record details

NPI number1366791873
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESMarch 6, 2014
Mailing address6112 E Brown Rd, Mesa, AZ 85205-4955

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kerry S Green Md Plc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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