NPIMap

Individual provider Active NPI

Jessica A. Enyeart, AGNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1720650849
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
260708 Issued in AZ
Practice address
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone
(602) 344-1015
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 260708 AZ Primary

Addresses

Primary practice location

2525 E Roosevelt St
Phoenix, AZ 85008-4948

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805003653 AZ Practitioner - Nurse Practitioner 4385048834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1159

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260708AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jul 9, 2021 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 2, 2021 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 2, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 9, 2021 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

4011 N 51st Ave
Phoenix, AZ 85031
Phone (623) 344-6900

1101 N Central Ave
Ste 204
Phoenix, AZ 85004
Phone (602) 344-6550

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

5650 S 35th Ave
Phoenix, AZ 85041
Phone (602) 655-6400

1101 N Central Ave
Ste 201
Phoenix, AZ 85004
Phone (602) 344-6550

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

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

2025 W Northern Ave
Phoenix, AZ 85021
Phone (602) 344-5253

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

7808 W Thomas Rd
Phoenix, AZ 85033
Phone (480) 271-7576

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

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

Interoperability endpoints

  • Direct secure messaging: jenyeart234988@direct.valleywisehealth.org

Organizations & group practices 8

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 12

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1720650849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084948",
            "telephone_number": "602-344-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEART",
        "first_name": "JESSICA",
        "middle_name": "A.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "260708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.