Individual provider Active NPI

Jessica Zeman, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Glendale, AZ
National Provider Identifier
1093869414
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
005239 Issued in AZ
Practice address
6677 W Thunderbird Rd
BLDG E
Glendale, AZ 85306-3709
Phone
(623) 815-7800
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 005239 AZ
Pulmonary Disease Physician 207RP1001X 005239 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 005239 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd
BLDG E
Glendale, AZ 85306-3709

Mailing address

14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 832-5702

Other names 1

  • Jessica Rae Nicholson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111114000812 AZ Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6709050479 Reassigns benefits to 4 organizations
I20220810003308 WY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6709050479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Critical Care Specialist, LLCGroup PAC ID 0749608719, 10 clinicians
Arizona Acute Medical Services 1 PCGroup PAC ID 6204113970, 49 clinicians

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (602) 445-0751

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 246-5681

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 445-0751

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
005239AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Arizona Critical Care Specialists, LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Banner Hospital Based Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Aug 2, 2025 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Jul 4, 2025 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Aug 20, 2012 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

111 E Dunlap Ave
Ste 1482
Phoenix, AZ 85020
Phone (602) 609-2600

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

111 E Dunlap Ave
Ste 1
Phoenix, AZ 85020

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

File 56765
Los Angeles, CA 90074

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Organizations & group practices 9

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 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1093869414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755282",
            "telephone_number": "623-832-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "BLDG E",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-815-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMAN",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "005239",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "005239",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "005239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NICHOLSON",
            "middle_name": "RAE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.