Individual provider Active NPI

Elsa Jacobs

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1467169532
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP283071 Issued in AZ
Practice address
1622 W Avenida de Maximillian
Tucson, AZ 85704-2021
Phone
(520) 440-3420
NPI assigned
Oct 28, 2022
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 RNP283071 AZ Primary

Addresses

Primary practice location

1622 W Avenida de Maximillian
Tucson, AZ 85704-2021

Mailing address

1622 W Avenida de Maximillian
Tucson, AZ 85704-2021
Phone (520) 440-3420

Other practice location 1

1601 N Tucson Blvd Ste 15
Tucson, AZ 85716-3406
Phone (520) 209-1919

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
I20240115000857 AZ Practitioner - Nurse Practitioner 0941652002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Javier R Rios MD a Medical Professional CorporationGroup PAC ID 4688669674, 6 clinicians

Practice addresses (Care Compare)

3770 S 16TH Ave
Tucson, AZ 85713-6081
Phone (520) 620-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP283071AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbelt Medical Group LLC CurrentSince Jan 1, 2025 Accepting new patients
Escalera Health LLC CurrentSince Dec 29, 2023 Accepting new patients
Javier R Rios MD a Medical Professional Corporation CurrentSince May 1, 2025 Accepting new patients
Sunbelt Medical Group LLC CurrentSince Jan 1, 2025 Accepting new patients
Infinity Health & Wellness LLC CurrentSince Feb 6, 2025 Accepting new patients
Javier R Rios MD, a Professional Corporation Past Accepting new patients
Escalera Health, LLC Past Accepting new patients

Locations

1601 N Tucson Blvd
Ste 15
Tucson, AZ 85716
Phone (520) 209-1919

2224 N Craycroft Rd
Ste 100
Tucson, AZ 85712
Phone (520) 209-1919

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

3770 S 16th Ave
Tucson, AZ 85713
Phone (520) 229-3400

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

495 E Rincon St
Ste 215
Corona, CA 92879

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1467169532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W AVENIDA DE MAXIMILLIAN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042021",
            "telephone_number": "520-440-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W AVENIDA DE MAXIMILLIAN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042021",
            "telephone_number": "520-440-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N Tucson Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857163406",
            "country_code": "US",
            "telephone_number": "520-209-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ELSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP283071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.