Individual provider Active NPI

Jennifer K. Billingsley, FNP

  • Family Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1447405196
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3012 Issued in AZ
Practice address
29455 N Cave Creek Rd Ste 118-520
Cave Creek, AZ 85331-3245
Phone
(602) 885-2495
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 AP3012 AZ Primary

Addresses

Primary practice location

29455 N Cave Creek Rd Ste 118-520
Cave Creek, AZ 85331-3245

Mailing address

29455 N Cave Creek Rd Ste 118-520
Cave Creek, AZ 85331-3245
Phone (602) 885-2495

Other identifiers 2

IdentifierTypeStateIssuer
Z120390OtherAZGROUP MEDICARE NUMBER
317047OtherAZGROUP MEDICAID NUMBER

Other names 1

  • Jennifer K. Bowen Former name

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
I20100922001069 AZ Practitioner - Nurse Practitioner 3375669773 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3012AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Wellcare PLLC Family CurrentSince Jan 10, 2023 Accepting new patients
Arizona Digestive Health, PC Past Accepting new patients

Locations

29455 N Cave Creek Rd
Ste 118520
Cave Creek, AZ 85331
Phone (602) 885-2495

29455 N Cave Creek Rd
#118520
Cave Creek, AZ 85331

Interoperability endpoints

  • Direct secure messaging: jennifer.billingsley.1@27350.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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1447405196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29455 N CAVE CREEK RD STE 118-520",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313245",
            "telephone_number": "602-885-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29455 N CAVE CREEK RD STE 118-520",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313245",
            "telephone_number": "602-885-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "Z120390",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "317047",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOWEN",
            "middle_name": "K.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.