NPIMap

Jennifer Mae Carlile, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Marana, AZ

NPI 1609217256 · NPPES record last updated Jan 10, 2025

Key facts

NPI
1609217256
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP5088 (AZ)
Practice address
13395 N Marana Main St
Marana, AZ 85653-7008
Phone
(520) 682-4111
Fax
(520) 682-3817
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 17

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center Inc (114 clinicians)
Surgical Wound Care Associates PLLC (5 clinicians)

Practice addresses (Care Compare)

13395 N Marana Main St
BLDG B
Marana, AZ 85653-7008
Phone (520) 682-1091

2055 W Hospital Dr
Suite 145
Tucson, AZ 85704-7876
Phone (520) 497-5760

Hospital & facility affiliations

  • Dependable Home Health, Inc Home health agency · Tucson, AZ · CCN 037070
  • Bayada Home Health Care, Inc Home health agency · Tucson, AZ · CCN 037213
  • Northwest Medical Center Hospital · Tucson, AZ · CCN 030085
  • Oro Valley Hospital Hospital · Oro Valley, AZ · CCN 030114

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130829000861 AZ Practitioner - Nurse Practitioner 4183867799 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Wound Care Associates PLLC Current
since Nov 1, 2024		 Accepting new patients
Marana Health Center, Inc Family Current
since Jan 22, 2016		 Accepting new patients
Marana Health Center Inc Current
since Jan 22, 2016		 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

435 E Glenn St
Tucson, AZ 85705
Phone (520) 616-1560

2202 W Anklam Rd
Tucson, AZ 85709
Phone (520) 206-6012

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

2055 W Hospital Dr
Ste 145
Tucson, AZ 85704
Phone (520) 469-8147

2945 W Ina Rd
Ste 215221
Tucson, AZ 85741
Phone (520) 616-1531

12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777

6565 E Carondelet Dr
Ste 301
Tucson, AZ 85710
Phone (520) 253-7824

1670 W Ruthrauff Rd
Tucson, AZ 85705
Phone (520) 616-6797

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

5000 E 29th St
Tucson, AZ 85711
Phone (520) 790-8500

8181 E Irvington Rd
Tucson, AZ 85709
Phone (520) 574-1551

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

Interoperability endpoints

  • Direct secure messaging: jennifer.carlile@1278.direct.myezyaccess.com
  • Direct secure messaging: jennifer.carlile.1@32652.direct.athenahealth.com
  • Direct secure messaging: jennifer.carlile.1@25546.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5088 AZ Yes

Addresses

Primary practice location

13395 N Marana Main St
Marana, AZ 85653-7008

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Other identifiers

IdentifierTypeStateIssuer
829150MedicaidAZ

Other names

  • Jennifer Mae Parve Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2025.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1609217256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829150",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PARVE",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marana, AZ

All providers in Marana, AZ · Family Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.