Individual provider Active NPI

Taylor Jenkins, MD

  • Obstetrics & Gynecology Physician
  • Nogales, AZ
National Provider Identifier
1639602626
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
62555 Issued in AZ
Practice address
507 N Western Ave
Nogales, AZ 85621-2060
Phone
(520) 287-4747
Fax
(520) 281-1112
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 62555 AZ Primary

Addresses

Primary practice location

507 N Western Ave
Nogales, AZ 85621-2060

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2128

Other identifiers 2

IdentifierTypeStateIssuer
092830MedicaidAZ
62555OtherAZARIZONA MEDICAL BOARD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726003645 AZ Practitioner - Obstetrics/Gynecology 3577966795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

507 N Western Ave
Nogales, AZ 85621-2060
Phone 52028747471180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62555AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jul 19, 2024 Accepting new patients
Mariposa Community Health Center, Inc Obstetrics & Gynecology Current Accepting new patients
District Medical Group, Inc Obstetrics & Gynecology CurrentSince Jul 19, 2024 Accepting new patients
Mariposa Community Health Center, Inc Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Mariposa Community Health Center, Inc Obstetrics & Gynecology Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
HCH Tucson Holdings LLC Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
Mariposa Community Health Center, Inc Past Accepting new patients

Locations

1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

1852 N Mastick Way
Nogales, AZ 85621

1209 W Target Range Rd
Ste 100
Nogales, AZ 85621
Phone (520) 287-4747

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180

Interoperability endpoints

  • Direct secure messaging: tjenkins110725@direct.valleywisehealth.org
  • Direct secure messaging: taylor.jenkins.p1@direct.azch.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1639602626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE STE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211061",
            "telephone_number": "520-761-2128",
            "fax_number": "520-281-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N WESTERN AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212060",
            "telephone_number": "520-287-4747",
            "fax_number": "520-281-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "62555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092830",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "62555",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.