Individual provider Active NPI

Nicole Helen Person-Rennell, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1629480892
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56399 Issued in AZ
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

Updated by the provider on May 8, 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 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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170915000717 CA Practitioner - Family Practice 7315228871 Reassigns benefits to 1 organization
I20180802001857 AZ Practitioner - Family Practice 7315228871 Reassigns benefits to 2 organizations

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
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
El Rio Santa Cruz Neighborhood Health Center, Inc.Group PAC ID 6305739244, 283 clinicians

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 Hospital, Tucson, AZ, CCN 030111
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
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

LicenseStateTypeSpecialty
56399AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Aug 10, 2017 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Banner-University Medical Group CurrentSince Aug 1, 2018 Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 10, 2017 Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.