Individual provider Active NPI

Jacqueline Sue Hess, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1477720530
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2305 Issued in AZ
Practice address
2346 N Central Ave
Phoenix, AZ 85004-1329
Phone
(602) 282-0078
Fax
(602) 282-0102
NPI assigned
May 8, 2008
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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 AP2305 AZ Primary

Addresses

Primary practice location

2346 N Central Ave
Phoenix, AZ 85004-1329

Mailing address

1919 E Thomas Rd
BLDG 2108, Ste 101
Phoenix, AZ 85016-7710
Phone (602) 512-8029

Other identifiers 1

IdentifierTypeStateIssuer
436293MedicaidMT

Other names 1

  • Jacqueline Sue Marshall 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
I20100211000596 AZ Practitioner - Nurse Practitioner 4385685031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Changepoint Integrated HealthGroup PAC ID 8123004587, 13 clinicians

Practice addresses (Care Compare)

1015 E 2ND St
Winslow, AZ 86047-4125
Phone (928) 289-4658

1801 W Deuce of Clubs
Suite 100
Show Low, AZ 85901-2704
Phone 92853753157726

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Medical Group CurrentSince Jan 15, 2012 Accepting new patients
Phoenix Children's Hospital CurrentSince Jan 15, 2012 Accepting new patients
Phoenix Children's Hospital Hope Past Accepting new patients
Frenchtown Family Practice PastSince Apr 10, 2007 Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030

2346 N Central Ave
Phoenix, AZ 85004
Phone (602) 234-1935

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

Organizations & group practices 5

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1477720530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "address_2": "BLDG 2108, STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-512-8029",
            "fax_number": "602-512-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041329",
            "telephone_number": "602-282-0078",
            "fax_number": "602-282-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436293",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MARSHALL",
            "middle_name": "SUE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.