Individual provider Active NPI

Jessica Ileen Walker, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1679317275
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309361 Issued in AZ
Practice address
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone
(520) 543-6100
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 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 309361 AZ Primary

Addresses

Primary practice location

2200 S Houghton Rd
Tucson, AZ 85748-7632

Mailing address

3662 W Ina Rd Ste 150
Tucson, AZ 85741-2269
Phone (520) 912-4242

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
I20240808002975 AZ Practitioner - Nurse Practitioner 9335686252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309361AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Dermatology, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Northwest Urgent Care LLC CurrentSince Apr 8, 2025 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Jul 1, 2024 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Jul 1, 2024 Accepting new patients
Southern Arizona Urgent Care LLC Current Accepting new patients

Locations

1880 E Tangerine Rd
Ste 100
Oro Valley, AZ 85755
Phone (520) 900-7006

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

6303 E Broadway Blvd
Ste 161
Tucson, AZ 85710
Phone (520) 838-0020

2732 N Alvernon Way
Tucson, AZ 85712
Phone (520) 319-1100

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

630 N Alvernon Way
Ste 180
Tucson, AZ 85711
Phone (520) 322-8450

Interoperability endpoints

  • Direct secure messaging: jessica.walker.1@1576.direct.athenahealth.com

Organizations & group practices 5

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1679317275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 W INA RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412269",
            "telephone_number": "520-912-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487632",
            "telephone_number": "520-543-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JESSICA",
        "middle_name": "ILEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "309361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.