Individual provider Active NPI

Jennifer Lynn Sylvester, CPNP

  • Primary Care Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1851622732
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024170773 Issued in VA
Practice address
7757 W Deer Valley Rd Ste 275
Peoria, AZ 85382-2130
Phone
(623) 878-2800
NPI assigned
Jan 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024170773 VA Primary

Addresses

Primary practice location

7757 W Deer Valley Rd Ste 275
Peoria, AZ 85382-2130

Mailing address

8194 W Deer Valley Rd Ste 106-328
Peoria, AZ 85382-2127
Phone (623) 878-2800

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
I20240717002511 AZ Practitioner - Nurse Practitioner 8022553767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170773VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Childrens Banner Health Clinic LLC CurrentSince Aug 12, 2024 Accepting new patients
Great Destinations Pediatrics CurrentSince Nov 18, 2025 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Aug 12, 2024 Accepting new patients
Banner Childrens Banner Health Clinic LLC Current Accepting new patients
North Scottsdale Pediatric Associates Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Arbor Medical Partners, LLC Past Accepting new patients

Locations

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

7757 W Deer Valley Rd
Ste 275
Peoria, AZ 85382
Phone (623) 262-4926

Organizations & group practices 7

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": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1851622732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 W DEER VALLEY RD STE 106-328",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822127",
            "telephone_number": "623-878-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 W DEER VALLEY RD STE 275",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822130",
            "telephone_number": "623-878-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024170773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.