Individual provider Active NPI

Jenitza Serrano-Feliciano, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1134303472
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45981 Issued in AZ
Practice address
320 W Prince Rd
Tucson, AZ 85705-3526
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Dec 21, 2007
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X N1134 TX
Family Medicine Physician 207Q00000X 45981 AZ Primary

Addresses

Primary practice location

320 W Prince Rd
Tucson, AZ 85705-3526

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other identifiers 1

IdentifierTypeStateIssuer
693476MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000726 AZ Practitioner - Family Practice 0749343846 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45981AZMDFamily Medicine Physician
N1134TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Jul 23, 2012 Accepting new patients
Marana Health Center, Inc Family Medicine CurrentSince Jul 23, 2012 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Bacchus PC Family Medicine Past Accepting new patients
Robert E Mutterperl DO SC PastSince Mar 1, 2009 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

1670 W Ruthrauff Rd
Tucson, AZ 85705
Phone (520) 616-6797

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

2202 W Anklam Rd
Tucson, AZ 85709
Phone (520) 206-6012

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

435 E Glenn St
Tucson, AZ 85705
Phone (520) 616-1560

5000 E 29th St
Tucson, AZ 85711
Phone (520) 790-8500

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

Interoperability endpoints

  • Direct secure messaging: jenitza.serranofeliciano@1278.direct.myezyaccess.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1134303472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053526",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-FELICIANO",
        "first_name": "JENITZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1134",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.