Active NPI
Jessica Coffey, NP
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181731 | Medicaid | AZ |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Wound Solutions, LLC | Current | Accepting new patients | |
| Tucson Medical Center | Current | Accepting new patients | |
| Sonoran Health Clinic LLC | Current | Accepting new patients | |
| TMC Medical Network | Current | Accepting new patients | |
| Tucson Medical Center | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1649038910
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1285416891
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1972876563
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.