Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Jon Deyoung, PA-C

Individual provider Physician Assistant · NPI 1336615590

Nicholas Jon Deyoung, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2019, 7 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2018
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

5058 E Southern Ave Ste 102
Mesa, AZ 85206-2771
Phone: (602) 222-1900
Fax: (480) 834-6181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336615590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2018
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 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 locations5 on file with Medicare

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