Active NPI
Nicole Helen Person-Rennell, MD
- Family Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 56399
- Practice address
- 3950 S Country Club Rd Ste 130
Tucson, AZ 85714-2203 - Phone
- (520) 670-3909
- Fax
- (520) 309-2560
- NPI assigned
- May 22, 2014
- 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 Medicine Physician | 207Q00000X | 56399 | AZ | Primary |
Addresses
Primary practice location
3950 S Country Club Rd Ste 130
Tucson, AZ 85714-2203
Mailing address
655 N Alvernon Way Ste 228
Tucson, AZ 85711-1853
Phone (520) 626-7864
Other practice location 1
655 N Alvernon Way Ste 228
Tucson, AZ 85711-1853
Phone (520) 626-7864 ext. 7
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Mayo Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 E Ajo Way
BLDG 100
Tucson, AZ 85713-6204
Phone (520) 874-2000
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
Hospital & facility affiliations
- Banner-University Medical Center South Campus
- Banner - University Medical Center Tucson Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56399 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| University of California SFGH Medical Group | Family Medicine | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients | |
| Banner - University Medical Center Tucson Campus LLC | Past | Accepting new patients |
Locations
3655 E Grant Rd
Tucson, AZ 85716
Phone (520) 440-6323
434 E University Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 309-4250
707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006
225 W Irvington Rd
Tucson, AZ 85714
Phone (520) 670-3857
3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778
707 N Alvernon Way
Ste 101
Tucson, AZ 85711
Phone (520) 694-1611
101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096
320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663
1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316
6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250
2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820
4550 S Palo Verde Rd
Bldg 1
Tucson, AZ 85714
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707
1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747
7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
Interoperability endpoints
- npersonrennell27446@elrio.direct.ci.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1598457525
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174598296
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1477204485
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1932777489
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1629480892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 N ALVERNON WAY STE 228",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111853",
"telephone_number": "520-626-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 S COUNTRY CLUB RD STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857142203",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
}
],
"practiceLocations": [
{
"address_1": "655 N Alvernon Way Ste 228",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857111853",
"country_code": "US",
"telephone_number": "520-626-7864 x7",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSON-RENNELL",
"first_name": "NICOLE",
"middle_name": "HELEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2025-05-08",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "56399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.