Individual provider Active NPI

Jennifer Anna Martinez, MSN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1881290690
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
250782 Issued in AZ
Practice address
2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891
Phone
(520) 420-2520
Fax
(520) 420-2522
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 250782 AZ Primary

Addresses

Primary practice location

2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891

Mailing address

5301 E Grant Rd
Attn: Medical Staff
Tucson, AZ 85712
Phone (520) 420-2520

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
I20201229000834 AZ Practitioner - Nurse Practitioner 8325451974 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2070 W Rudasill Rd
Suite 130
Tucson, AZ 85704-7891
Phone (520) 420-2520

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
250782AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC CurrentSince Apr 1, 2023 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Feb 1, 2021 Accepting new patients
App of Southern Arizona HM LLC CurrentSince May 1, 2021 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2025 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

1845 W Orange Grove Rd
Bldg 2
Tucson, AZ 85704
Phone (520) 531-8967

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704
Phone (520) 420-2520

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Interoperability endpoints

  • Direct secure messaging: jennifer.martinez@aoa.ikm.direct-ci.com

Organizations & group practices 5

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 2

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1881290690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "address_2": "ATTN: MEDICAL STAFF",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-420-2520",
            "fax_number": "520-420-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 W RUDASILL RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047891",
            "telephone_number": "520-420-2520",
            "fax_number": "520-420-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JENNIFER",
        "middle_name": "ANNA",
        "credential": "MSN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "250782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.