Individual provider Active NPI

Jessica Lucente, PA-C

  • Medical Physician Assistant
  • Sun City, AZ
National Provider Identifier
1356441406
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2820 Issued in AZ
Practice address
14672 N del Webb Blvd
Sun City, AZ 85351-2137
Phone
(602) 633-3824
Fax
(602) 633-3827
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 2820 AZ Primary

Addresses

Primary practice location

14672 N del Webb Blvd
Sun City, AZ 85351-2137

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other practice location 1

5601 W Eugie Ave Ste 203
Glendale, AZ 85304-1258
Phone (602) 633-3833

Other practice location 2

5601 W Eugie Ave Ste 210
Glendale, AZ 85304-1258
Phone (602) 633-3833

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
I20050519001124 AZ Practitioner - Physician Assistant 9234170143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521
Phone (623) 512-4190

14670 N del Webb Blvd
Sun City, AZ 85351-2137
Phone (602) 633-3824

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC Internal Medicine CurrentSince Jun 26, 2023 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

5601 W Eugie Ave
Ste 203
Glendale, AZ 85304
Phone (602) 548-1600

5601 W Eugie Ave
Ste 210
Glendale, AZ 85304
Phone (602) 633-3833

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

14670 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 633-3824

14672 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 633-3824

Interoperability endpoints

  • Direct secure messaging: jessica.lucente.2@33227.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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1356441406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14672 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "602-633-3824",
            "fax_number": "602-633-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 W Eugie Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041258",
            "country_code": "US",
            "telephone_number": "602-633-3833",
            "fax_number": "602-633-3834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 W Eugie Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041258",
            "country_code": "US",
            "telephone_number": "602-633-3833",
            "fax_number": "602-633-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCENTE",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.