Individual provider Active NPI

Jennifer Elizabeth Iacovelli, M.D.

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1912198011
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36705 Issued in AZ
Practice address
8575 E Princess Dr Ste a-109
Scottsdale, AZ 85255-5483
Phone
(480) 734-7515
Fax
(480) 794-1025
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36705 AZ Primary

Addresses

Primary practice location

8575 E Princess Dr Ste a-109
Scottsdale, AZ 85255-5483

Mailing address

9377 E Bell Rd Ste 313
Scottsdale, AZ 85260-1504
Phone (480) 734-7515

Other identifiers 2

IdentifierTypeStateIssuer
435318MedicaidAZ
325467MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000295 AZ Practitioner - Obstetrics/Gynecology 2769546076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9377 E Bell Rd
Suite 313
Scottsdale, AZ 85260-1504
Phone (480) 734-7515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36705AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jei Holdings, LLC Obstetrics & Gynecology CurrentSince May 1, 2017 Accepting new patients

Locations

9377 E Bell Rd
Ste 313
Scottsdale, AZ 85260
Phone (480) 513-9440

8575 E Princess Dr
Ste A109
Scottsdale, AZ 85255
Phone (224) 588-9940

Interoperability endpoints

  • Direct secure messaging: jennifer.iacovelli.malone.1@15795.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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1912198011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 313",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601504",
            "telephone_number": "480-734-7515",
            "fax_number": "480-393-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 E PRINCESS DR STE A-109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555483",
            "telephone_number": "480-734-7515",
            "fax_number": "480-794-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOVELLI",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435318",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325467",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.