Individual provider Active NPI

Jessica Duemmel, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1114761236
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308373 Issued in AZ
Practice address
500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218
Phone
(602) 406-1150
Fax
(602) 406-1159
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 308373 AZ
Family Nurse Practitioner 363LF0000X 308373 AZ
Adult Health Nurse Practitioner 363LA2200X 308373 AZ Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 308373 AZ

Addresses

Primary practice location

500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160
Phone (602) 582-5233

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
I20241004001633 AZ Practitioner - Nurse Practitioner 1850822503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

1100 S Dobson Rd
204 DHMG Agave Surgery Clinic Chandler
Chandler, AZ 85286-6157
Phone (602) 726-3606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308373AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Pathology Multi-Specialty Current Accepting new patients
Sjhmc Physician Services Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
St. Joseph'S Hospital and Medical Center Multi-Specialty CurrentSince Aug 30, 2020 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1100 S Dobson Rd
Ste 204
Chandler, AZ 85286
Phone (602) 582-5233

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

500 W Thomas Rd
Ste 850
Phoenix, AZ 85013
Phone (602) 406-1150

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

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

File 56765
Los Angeles, CA 90074

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1114761236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134218",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Dobson Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852866160",
            "country_code": "US",
            "telephone_number": "602-582-5233",
            "fax_number": "623-208-5075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUEMMEL",
        "first_name": "JESSICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "308373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "308373",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "308373",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "308373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.