NPIMap

Individual provider Active NPI

Jaclyn Robinson, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1609302249
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
54274 Issued in AZ
Practice address
2626 E River Rd
Tucson, AZ 85718-6632
Phone
(520) 694-7021
Fax
(520) 694-0235
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AZ
Geriatric Medicine (Family Medicine) Physician 207QG0300X 54274 AZ Primary

Addresses

Primary practice location

2626 E River Rd
Tucson, AZ 85718-6632

Mailing address

2626 E River Rd
Tucson, AZ 85718-6632
Phone (520) 694-7021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015002406 AZ Practitioner - Geriatric Medicine 6406279223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

2626 E River Rd
Tucson, AZ 85718-6632
Phone (520) 694-7021

2800 E Ajo Way
Tucson, AZ 85713-6204

535 N Wilmot Rd
Suite 101
Tucson, AZ 85711-2683
Phone (520) 694-5437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54274AZMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Dec 29, 2025 Accepting new patients
Banner Alzheimer'S Institute Current Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Dec 29, 2025 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

901 E Willetta St
Phoenix, AZ 85006
Phone (602) 839-6900

3838 N Campbell Ave
#2
Tucson, AZ 85719

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

2626 E River Rd
Tucson, AZ 85718
Phone (520) 694-7021

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Organizations & group practices 4

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 7

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1609302249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186632",
            "telephone_number": "520-694-7021",
            "fax_number": "520-694-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186632",
            "telephone_number": "520-694-7021",
            "fax_number": "520-694-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "54274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.