Active NPI
Jennifer K. Billingsley, FNP
- Family Nurse Practitioner
- Cave Creek, AZ
National Provider Identifier
1447405196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z120390 | Other | AZ | GROUP MEDICARE NUMBER |
| 317047 | Other | AZ | GROUP MEDICAID NUMBER |
Other names 1
- Jennifer K. Bowen
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3012 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Wellcare PLLC | Family | Current | 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
- 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.
-
- Family Nurse Practitioner
- Cave Creek, AZ
- NPI 1679290977
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.