Individual provider Active NPI

Roxane M. Jueckstock, FNP-BC

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1780044842
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8543 Issued in AZ
Practice address
20640 W Roosevelt St Ste 104
Buckeye, AZ 85326-1555
Phone
(480) 677-8282
Fax
(888) 316-1686
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AP8543 AZ
Family Nurse Practitioner 363LF0000X AP8543 AZ Primary

Addresses

Primary practice location

20640 W Roosevelt St Ste 104
Buckeye, AZ 85326-1555

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other practice location 1

19550 W Indian School Rd Ste 102
Buckeye, AZ 85396-2078
Phone (480) 677-8282

Other practice location 2

5110 W McDowell Rd
Phoenix, AZ 85035-3862
Phone (602) 671-7068

Other identifiers 1

IdentifierTypeStateIssuer
331545MedicaidAZ

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
I20171023002103 AZ Practitioner - Nurse Practitioner 3870868227 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

14418 W Meeker Blvd
Suite 210
Sun City West, AZ 85375-5291
Phone (623) 544-8400

19550 W Indian School Rd
Suite 102
Buckeye, AZ 85396-2078
Phone (480) 677-8282

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Multi-Specialty CurrentSince Oct 30, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Good Health Medical, PLLC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients
Good Health Medical, PLLC Multi-Specialty CurrentSince Dec 14, 2025 Accepting new patients
Summit Medical Group Arizona LLC Multi-Specialty CurrentSince Mar 3, 2020 Accepting new patients
Greater Phoenix Collaborative Care PC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Good Health Medical, PLLC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients
Christopher Stalberg, MD, PLLC Multi-Specialty CurrentSince Mar 15, 2024 Accepting new patients
Livn, P.C. Multi-Specialty Past Accepting new patients
Good Health Medical, PLLC Multi-Specialty PastSince Nov 1, 2021 Accepting new patients
Privia Medical Group Arizona, LLC Multi-Specialty Past Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Multi-Specialty PastSince Jun 11, 2022 Accepting new patients
Good Health Medical, PLLC Family Medicine PastSince Dec 14, 2025 Accepting new patients

Locations

20640 W Roosevelt St
Ste 104
Buckeye, AZ 85326

19550 W Indian School Rd
Ste 102
Buckeye, AZ 85396

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

21471 N Lake Pleasant Pkwy
Ste 1710
Peoria, AZ 85382
Phone (623) 362-1971

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

14418 W Meeker Blvd
Ste 210
Sun City West, AZ 85375
Phone (623) 544-8400

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1780044842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20640 W ROOSEVELT ST STE 104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853261555",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19550 W Indian School Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853962078",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5110 W McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850353862",
            "country_code": "US",
            "telephone_number": "602-671-7068",
            "fax_number": "602-671-6946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUECKSTOCK",
        "first_name": "ROXANE",
        "middle_name": "M.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP8543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331545",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.