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

Individual provider Physician Assistant · NPI 1215423512

Jordan F Pendergast, PA-C is a Physician Assistant in Scottsdale, Arizona. Qualified in 2019, 7 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Wisconsin.

Years since qualifying
7
Licensed in
AZ, WI
In the registry since
2018
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

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3330 N 2nd St Ste 401, Phoenix, AZ 85012-2371 — (602) 606-8949
  • 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 — (414) 877-5350
  • N73w27118 Kettle Cove Ln, Sussex, WI 53089-1856 — (414) 881-9940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9085 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 4893-23 (WI)

Record details

NPI number1215423512
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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