Individual provider Active NPI

Jennifer Anne Billingsley, WHNO

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1861862989
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP8081 Issued in AZ
Practice address
11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028
Phone
(602) 494-5050
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP8081 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028

Mailing address

PO Box 81064
Cleveland, OH 44181-0064
Phone (602) 494-5050

Other practice location 1

4530 N 32nd St Ste 100
Phoenix, AZ 85018-3357
Phone (602) 468-3912

Other names 1

  • Mrs. Jennifer Anne Moberly Former name

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
I20170718002306 AZ Practitioner - Nurse Practitioner 2466722889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028-6025
Phone (602) 494-5050

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

4530 N 32ND St
Suite 100
Phoenix, AZ 85018-3357
Phone (602) 468-3912

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8081AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince Dec 7, 2022 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

11209 N Tatum Blvd
Ste 255
Phoenix, AZ 85028
Phone (602) 494-5050

4530 N 32nd St
Ste 100
Phoenix, AZ 85018
Phone (602) 468-3912

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.billingsley.1@19050.direct.athenahealth.com

Organizations & group practices 1

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1861862989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81064",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810064",
            "telephone_number": "602-494-5050",
            "fax_number": "866-777-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-494-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 N 32nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183357",
            "country_code": "US",
            "telephone_number": "602-468-3912",
            "fax_number": "866-777-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "WHNO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP8081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOBERLY",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.