Individual provider Active NPI

Jennifer Enriquez, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1144036849
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11295 Issued in AZ
Practice address
3611 N Campbell Ave
Tucson, AZ 85719-1534
Phone
(520) 694-4650
Fax
(520) 694-4651
NPI assigned
Dec 6, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11295 AZ Primary

Addresses

Primary practice location

3611 N Campbell Ave
Tucson, AZ 85719-1534

Mailing address

3611 N Campbell Ave
Tucson, AZ 85719-1534
Phone (520) 694-4650

Other practice location 1

1055 N La Canada Dr Ste 131
Green Valley, AZ 85614-3700
Phone (520) 589-2039

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
I20251017002733 AZ Practitioner - Physician Assistant 2062909427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Oasis Dermatology PCGroup PAC ID 9032544515, 4 clinicians
Banner Urgent Care Arizona LLCGroup PAC ID 3678749496, 47 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

1055 N la Canada Dr
Suite 131
Green Valley, AZ 85614-3700
Phone (520) 589-2039

1676 E McMurray Blvd
Suite 1
Casa Grande, AZ 85122-4798
Phone (520) 316-0688

3611 N Campbell Ave
Tucson, AZ 85719-1534
Phone (520) 694-4650

7066 E Golf Links Rd
Tucson, AZ 85730-1062
Phone (520) 694-6420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Dec 1, 2025 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Dec 1, 2025 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Oasis Dermatology PC CurrentSince Oct 20, 2025 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Dec 1, 2025 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

1055 N La Canada Dr
Ste 131
Green Valley, AZ 85614
Phone (520) 589-2039

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

3611 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-4650

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 6

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1144036849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191534",
            "telephone_number": "520-694-4650",
            "fax_number": "520-694-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191534",
            "telephone_number": "520-694-4650",
            "fax_number": "520-694-4651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N La Canada Dr Ste 131",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856143700",
            "country_code": "US",
            "telephone_number": "520-589-2039",
            "fax_number": "520-589-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.