Individual provider Active NPI

Jennifer Ann Banek, N.P.

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1255785481
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8612 Issued in AZ
Practice address
2265 W Ina Rd
Tucson, AZ 85741-2650
Phone
(520) 702-3637
Fax
(855) 576-4111
NPI assigned
Apr 13, 2016
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 AP8612 AZ Primary

Addresses

Primary practice location

2265 W Ina Rd
Tucson, AZ 85741-2650

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 706-8357

Other practice location 1

3630 W Tangerine Rd Ste 100
Marana, AZ 85658-5062
Phone (520) 744-3206

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.banek@nwhc.cernerdirect.com
Direct Messaging Address jennifer.banek.1@1576.direct.athenahealth.com

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
I20160503000769 AZ Practitioner - Nurse Practitioner 2163721713 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Arizona, LLC CurrentSince May 5, 2025 Accepting new patients
TMC Urgent Care CurrentSince Jun 27, 2022 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2022 Accepting new patients

Locations

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

1396 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 324-2160

2265 W Ina Rd
Tucson, AZ 85741
Phone (520) 702-3637

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2424 N Wyatt Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-2778

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

5265 E Knight Dr
Tucson, AZ 85712
Phone (520) 327-5911

5295 E Knight Dr
Tucson, AZ 85712
Phone (520) 324-1010

5860 N La Cholla Blvd
Ste 100
Tucson, AZ 85741
Phone (520) 420-2045

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: jennifer.banek.1@1576.direct.athenahealth.com
  • Direct secure messaging: jennifer.banek@nwhc.cernerdirect.com

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, 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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1255785481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-706-8357",
            "fax_number": "615-523-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412650",
            "telephone_number": "520-702-3637",
            "fax_number": "855-576-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 W Tangerine Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856585062",
            "country_code": "US",
            "telephone_number": "520-744-3206",
            "fax_number": "520-744-3207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANEK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.banek@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3630 W Tangerine Rd Ste 100",
            "city": "Marana",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856585062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.banek.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3630 W Tangerine Rd Ste 100",
            "city": "Marana",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856585062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.