Jenifer Trefois Seidner

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

301224 Issued in AZ

Practice address

1712 W Anklam Rd Ste 101
Tucson, AZ 85745-2660

Phone

(520) 207-2384

NPI assigned

Dec 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Tucson Weight Loss SurgeryGroup PAC ID 9234594649, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tucson Weight Loss Surgery

  • Surgery Physician
  • Tucson, AZ
  • NPI 1265149488

  Family

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SMSJ Tucson Holdings LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265818488
  Care Compare affiliation

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1801664008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660",
            "telephone_number": "520-207-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660",
            "telephone_number": "520-207-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDNER",
        "first_name": "JENIFER",
        "middle_name": "TREFOIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "301224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lela Segundo
• Mae Grace Seibold
• Roz Seibold, HIS
• Lisa Beth Seidenberg
• Edward James Seidmon, MD
• Scott A Seifert, MD
• Andrew Seita
• Harmandeep Sekhon, DMD
• Carolyn Marie Selby, PT
• Robert E Selby, M.D.

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.