Individual provider Active NPI

Jessica Coffey, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1023564135
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8945 Issued in AZ
Practice address
630 N Alvernon Way Ste 251
Tucson, AZ 85711-1879
Phone
(520) 323-8460
Fax
(520) 322-5742
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8945 AZ Primary

Addresses

Primary practice location

630 N Alvernon Way Ste 251
Tucson, AZ 85711-1879

Mailing address

3501 E Speedway Blvd # 300
Tucson, AZ 85716-3917
Phone (520) 833-5171

Other practice location 1

1400 N Wilmot Rd
Tucson, AZ 85712-4498
Phone (520) 324-2075

Other identifiers 1

IdentifierTypeStateIssuer
181731MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007000955 AZ Practitioner - Nurse Practitioner 6103114160 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
Sonoran Health Clinic LLCGroup PAC ID 2466804695, 4 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 104
Scottsdale, AZ 85258-4531
Phone (480) 493-0900

1400 N Wilmot Rd
Tucson, AZ 85712-4498
Phone (520) 324-2075

5120 N Camino Arenosa
Tucson, AZ 85718-6340
Phone (520) 296-1206

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wound Solutions, LLC CurrentSince Sep 1, 2025 Accepting new patients
Tucson Medical Center CurrentSince Aug 1, 2020 Accepting new patients
Sonoran Health Clinic LLC CurrentSince Jul 18, 2024 Accepting new patients
TMC Medical Network CurrentSince Aug 1, 2020 Accepting new patients
Tucson Medical Center CurrentSince Aug 1, 2020 Accepting new patients

Locations

10210 N 92nd St
Ste 104
Scottsdale, AZ 85258
Phone (480) 493-0900

1400 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 222-8268

1100 N El Dorado Pl
Tucson, AZ 85715
Phone (520) 296-7169

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

Interoperability endpoints

  • Direct secure messaging: jessica.coffey.1@31166.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1023564135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E SPEEDWAY BLVD # 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163917",
            "telephone_number": "520-833-5171",
            "fax_number": "520-872-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111879",
            "telephone_number": "520-323-8460",
            "fax_number": "520-322-5742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124498",
            "country_code": "US",
            "telephone_number": "520-324-2075",
            "fax_number": "520-324-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181731",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.