Individual provider Active NPI

Jennifer Slocum Waara, MD

  • Family Medicine Physician
  • Prescott, AZ
National Provider Identifier
1508913799
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36449 Issued in AZ
Practice address
1000 Ainsworth Dr Ste A220
Prescott, AZ 86305-1645
Phone
(928) 499-3770
Fax
(928) 499-3770
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36449 AZ Primary

Addresses

Primary practice location

1000 Ainsworth Dr Ste A220
Prescott, AZ 86305-1645

Mailing address

1000 Ainsworth Dr Ste A220
Prescott, AZ 86305-1645
Phone (928) 499-3770

Other names 1

  • Miss Jennifer Lee Slocum 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001195 AZ Practitioner - Family Practice 0547352569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yavapai Current Accepting new patients
Michael G Valpiani MD Az LTD PastSince Sep 14, 2025 Accepting new patients

Locations

1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000

Interoperability endpoints

  • Direct secure messaging: jennifer.waaramd.p1@direct.ycchs.nextgenshare.com

Organizations & group practices 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1508913799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR STE A220",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051645",
            "telephone_number": "928-499-3770",
            "fax_number": "928-499-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR STE A220",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051645",
            "telephone_number": "928-499-3770",
            "fax_number": "928-499-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAARA",
        "first_name": "JENNIFER",
        "middle_name": "SLOCUM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SLOCUM",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.