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

Individual provider Surgical Physician Assistant · NPI 1720028095

Jeremy D. Platt, PA-C is a Physician Assistant in Prescott, Arizona. Qualified in 2005, 21 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2006
Specialties on file
2
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

1001 Willow Creek Rd Ste 3300
Prescott, AZ 86301-1614
Phone: (928) 458-2996
Fax: (928) 458-2135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Willow Creek Rd Ste 3100, Prescott, AZ 86301-1614 — (928) 445-4818

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3348 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3348 (AZ)

Record details

NPI number1720028095
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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