Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeannette Vaughn-Dotterer, DMSC, PA-C

Individual provider Physician Assistant · NPI 1407859416

Jeannette Vaughn-Dotterer, DMSC, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2003, 23 years ago. Practices with Adelante Healthcare, Inc, a 130-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2005
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

9610 N Metro Pkwy W
Phoenix, AZ 85051-1402
Phone: (480) 964-2273
Fax: (602) 843-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2896 (AZ)

Record details

NPI number1407859416
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMSC , PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Adelante Healthcare, Inc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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