Individual provider Active NPI

Jacqueline Claire Spera, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1144875451
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223292 Issued in AZ
Practice address
3838 N Campbell Ave, BLDG 2
Tucson, AZ 85719
Phone
(520) 694-8888
NPI assigned
Aug 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

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 223292 AZ Primary

Addresses

Primary practice location

3838 N Campbell Ave, BLDG 2
Tucson, AZ 85719

Mailing address

6301 N Calle Campeche
Tucson, AZ 85750-1277
Phone (520) 241-2401

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
I20191112001468 AZ Practitioner - Nurse Practitioner 4880026939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223292AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of New Mexico LLC CurrentSince Jul 12, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Nov 1, 2019 Accepting new patients
Banner-University Medical Group CurrentSince Nov 1, 2019 Accepting new patients

Locations

2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

3838 N Campbell Ave
#2
Tucson, AZ 85719

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

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.

Hospital & facility affiliations 2

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1144875451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N CALLE CAMPECHE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501277",
            "telephone_number": "520-241-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAMPBELL AVE, BLDG 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85719",
            "telephone_number": "520-694-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERA",
        "first_name": "JACQUELINE",
        "middle_name": "CLAIRE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.