Individual provider Active NPI

Jennifer Marie Estefano, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gold Canyon, AZ
National Provider Identifier
1235924952
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
320499 Issued in AZ
Practice address
5370 S Desert Dawn Dr Unit 48
Gold Canyon, AZ 85118-5894
Phone
(480) 720-4424
NPI assigned
Apr 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 320499 AZ Primary

Addresses

Primary practice location

5370 S Desert Dawn Dr Unit 48
Gold Canyon, AZ 85118-5894

Mailing address

5370 S Desert Dawn Dr Unit 48
Gold Canyon, AZ 85118-5894

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
I20250711003561 AZ Practitioner - Nurse Practitioner 7719492420 Reassigns benefits to 2 organizations

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
Zion Specialty PLLC 12 clinicians

Practice addresses (Care Compare)

1100 E Monroe St
Globe, AZ 85501-1363
Phone (928) 425-5721

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Specialty PLLC CurrentSince Jun 30, 2025 Accepting new patients
Healing Horizons Psychiatry CurrentSince Jun 15, 2025 Accepting new patients

Locations

161 W Rodeo Rd
Casa Grande, AZ 85122
Phone (520) 421-4960

17215 N 72nd Dr
Ste A105
Glendale, AZ 85308
Phone (480) 393-3515

1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074

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

Interoperability endpoints

  • Direct secure messaging: jennifer.estefano.1@22469.direct.athenahealth.com

Organizations & group practices 2

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": "1744416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1235924952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 S DESERT DAWN DR UNIT 48",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851185894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 S DESERT DAWN DR UNIT 48",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851185894",
            "telephone_number": "480-720-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEFANO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "320499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

Verify at the official NPI Registry.