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Jeremy Ganz , PA

Physician Assistant β€’ Clovis, NM

Active NPI 1053805671 Individual Practitioner Male Practitioner
Practice location in NPPES

27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408
Clovis, NM 88103

Call 3142268463 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

27th Special Operations Medical Group
224 W D. L. Ingram Avenue, Bldg. 1408

Clovis, NM 88103

Telephone 3142268463

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jeremy Ganz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jeremy Ganz as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clovis and New Mexico

5 active clinicians are listed under Physician Assistant with a practice address in Clovis, NM (857 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250131001861

Enrollment State Jurisdiction

NM

PECOS Control ID

8426587627

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location January 22, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408, CLOVIS, NM 88103 (Tel: 3142268463)

πŸ“
Updated Business Mailing Address January 22, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103

πŸ“
Updated Practice Location December 05, 2023

Registered at 48TH MDG, RAF LAKENHEATH, APO, AE 09464 (Tel: 3142268463)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Military Health Care Provider

πŸ“
Updated Practice Location April 02, 2021

Registered at 2050A 2ND ST SE, KIRTLAND AFB, NM 871172866 (Tel: 5058464576)

πŸ“
Updated Business Mailing Address April 02, 2021

Registered at 2050A 2ND ST SE, KIRTLAND AFB, NM 871172866

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2021

Physician Assistant

βœ…
NPI Profile Active June 18, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2018

Registered at 283 TWIN LAKES LN, DESTIN, FL 325412866 (Tel: 9203921263)

πŸ“
Business Mailing Address (Initial Record) June 18, 2018

Registered at 283 TWIN LAKES LN, DESTIN, FL 325412866

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2018

Recorded as JEREMY GANZ, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration June 18, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053805671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2018
Last Update: January 22, 2024
Sole Proprietor: No

Other Physician Assistants in Clovis

Healthcare providers in Clovis

Mailing Address

27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408

Cannon Afb, NM 88103

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.