Individual provider Active NPI

Jamie L Beuckman

  • Family Nurse Practitioner
  • Oro Valley, AZ
National Provider Identifier
1053293308
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
327211 Issued in AZ
Practice address
12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994
Phone
(520) 742-4008
Fax
(520) 742-4280
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 327211 AZ Primary

Addresses

Primary practice location

12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 742-4008

Other names 1

  • Jamie L Avery Former name

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
I20251016004684 AZ Practitioner - Nurse Practitioner 0143717694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians

Practice addresses (Care Compare)

12480 N Rancho Vistoso Blvd
Suite 180
Oro Valley, AZ 85755-1994
Phone (520) 742-4008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Care Center, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Arizona Pain Care Associates LLC Past Accepting new patients

Locations

17100 N 67th Ave
Ste 600601
Glendale, AZ 85308
Phone (520) 742-4008

17100 N 67th Ave
Ste 600
Glendale, AZ 85308

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130

5639 E Grant Rd
Tucson, AZ 85712
Phone (520) 615-3444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1053293308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-742-4008",
            "fax_number": "520-742-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD STE 180",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551994",
            "telephone_number": "520-742-4008",
            "fax_number": "520-742-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUCKMAN",
        "first_name": "JAMIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "327211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "AVERY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.