Individual provider Active NPI

Jessica Stephens

  • Colon & Rectal Surgery Physician
  • Tucson, AZ
National Provider Identifier
1417375023
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
S7967 Issued in TX
Practice address
6130 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3698
Phone
(520) 219-8690
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X S7967 TX Primary
Surgery Physician 208600000X S7967 TX

Addresses

Primary practice location

6130 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3698

Mailing address

6130 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3698
Phone (520) 219-8690

Other practice location 1

3406 College St Ste 101
Beaumont, TX 77701-4612
Phone (409) 813-1677

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.stephens.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200813002749 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7810324522 Reassigns benefits to 1 organization
I20250603002482 AZ Practitioner - Colorectal Surgery (Proctology) 7810324522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100

2300 S Houghton Rd
Tucson, AZ 85748-0002

6130 N la Cholla Blvd
Tucson, AZ 85741-3574

6130 N la Cholla Blvd
Tucson, AZ 85741-3698

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Jul 15, 2025 Accepting new patients
Diagnostic Group Integrated Healthcare System PLLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Jul 15, 2025 Accepting new patients
Baptist Hospitals of Southeast Texas Past Accepting new patients

Locations

6130 N La Cholla Blvd
Ste 250
Tucson, AZ 85741
Phone (520) 219-8690

6130 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
Phone (520) 219-8342

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

3406 College St
Beaumont, TX 77701
Phone (409) 730-2031

3406 College St
Ste 101
Beaumont, TX 77701

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

288 Country Lane Dr
Lumberton, TX 77657
Phone (409) 227-4413

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

Interoperability endpoints

  • Direct secure messaging: jessica.stephens.1@1576.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1417375023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413698",
            "telephone_number": "520-219-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413698",
            "telephone_number": "520-219-8690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3406 College St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "423-439-6259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "S7967",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S7967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.stephens.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6130 N La Cholla Blvd Ste 250",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.