Active NPI
Jacqueline Sue Hess, FNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2305
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 436293 | Medicaid | MT |
Other names 1
- Jacqueline Sue Marshall
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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Hospital | Current | Accepting new patients | |
| Phoenix Children's Hospital Hope | Past | Accepting new patients | |
| Frenchtown Family Practice | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holbrook, AZ
- NPI 1205877610
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Pharmacy
- Phoenix, AZ
- NPI 1386749836
-
- Family Medicine Physician
- Frenchtown, MT
- NPI 1891741807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.