NPIMap

Individual provider Active NPI

Jana Walker

  • Family Nurse Practitioner
  • Elfrida, AZ
National Provider Identifier
1174201511
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
294586 Issued in AZ
Practice address
10566 N Highway 191
Elfrida, AZ 85610-9021
Phone
(520) 642-2222
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 294586 AZ Primary

Addresses

Primary practice location

10566 N Highway 191
Elfrida, AZ 85610-9021

Mailing address

3040 W Conaway Cir
Benson, AZ 85602-3001
Phone (505) 793-6331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121003175 AZ Practitioner - Nurse Practitioner 7416305990 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294586AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiricahua Community Health Centers, Inc CurrentSince Nov 6, 2023 Accepting new patients
Chiricahua Community Health Centers, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Chiricahua Community Health Centers, Inc Current Accepting new patients

Locations

335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811

1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285

1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852

10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222

Interoperability endpoints

  • Direct secure messaging: jana.walker.p1@direct.cchci.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiricahua Community Health Centers Inc 44 clinicians

Practice addresses (Care Compare)

10566 N Hwy 191
Elfrida, AZ 85610-9021
Phone (520) 642-2222

Hospital & facility affiliations

  • Benson Hospital Hospital, Benson, AZ, CCN 031301
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1174201511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 W CONAWAY CIR",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856023001",
            "telephone_number": "505-793-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10566 N HIGHWAY 191",
            "city": "ELFRIDA",
            "state": "AZ",
            "postal_code": "856109021",
            "telephone_number": "520-642-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "294586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elfrida, AZ

Sources for this page

Verify at the official NPI Registry.