Individual provider Active NPI

Jennifer Ford, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1629433099
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP Issued in AZ
Practice address
2625 N Craycroft Rd Ste 200
Tucson, AZ 85712-2268
Phone
(520) 420-2580
Fax
(520) 420-2582
NPI assigned
Dec 29, 2015
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 AP AZ Primary

Addresses

Primary practice location

2625 N Craycroft Rd Ste 200
Tucson, AZ 85712-2268

Mailing address

5301 E Grant Rd
Attn: Medical Staff
Tucson, AZ 85712
Phone (520) 420-2580

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
I20160217002549 AZ Practitioner - Nurse Practitioner 7315242039 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2625 N Craycroft Rd
Suite 200
Tucson, AZ 85712-2268
Phone (520) 420-2580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APAZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Apr 1, 2017 Accepting new patients
Benson Hospital Corporation CurrentSince Apr 1, 2017 Accepting new patients
Arizona Oncology Associates PC CurrentSince Jul 5, 2021 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2025 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

2625 N Craycroft Rd
Ste 200
Tucson, AZ 85712
Phone (520) 324-2409

2625 N Craycroft Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2778

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

Interoperability endpoints

  • Direct secure messaging: jennifer.ford@aoa.ikm.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1629433099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "address_2": "ATTN: MEDICAL STAFF",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-420-2580",
            "fax_number": "520-420-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N CRAYCROFT RD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122268",
            "telephone_number": "520-420-2580",
            "fax_number": "520-420-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.