Individual provider Active NPI

Jennifer C Wright-Bennion, CNM

  • Advanced Practice Midwife
  • Queen Creek, AZ
National Provider Identifier
1982618559
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP5401 Issued in AZ
Practice address
21321 E Ocotillo Rd Ste 126
Queen Creek, AZ 85142-5995
Phone
(480) 550-5117
Fax
(833) 424-7117
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 2877344402 UT
Advanced Practice Midwife 367A00000X AP5401 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd Ste 126
Queen Creek, AZ 85142-5995

Mailing address

22424 S Ellsworth Loop Rd Unit 1007
Queen Creek, AZ 85142-7124
Phone (480) 550-5117

Other identifiers 1

IdentifierTypeStateIssuer
978215MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jenwright@luxewomenshealth.kareodirect.com Direct
Direct Messaging Address jenwright@luxewomenshealth.kareodirect.com Health Information Exchange (HIE)

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324001759 AZ Practitioner - Certified Nurse Midwife (CNM) 5395761258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21321 E Ocotillo Rd
Suite 126
Queen Creek, AZ 85142-5995
Phone (480) 550-5117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP5401AZMDAdvanced Practice Midwife
2877344402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Luxe Women'S Health LLC Advanced Practice Midwife CurrentSince Feb 28, 2019 Accepting new patients
Sjhmc Physician Services CurrentSince Nov 10, 2014 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Theodore Barton Advanced Practice Midwife PastSince Jan 1, 2002 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Affiliated Hospitalists, PLC PastSince Jan 1, 2013 Accepting new patients

Locations

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

22424 S Ellsworth Loop Rd
Unit 1007
Queen Creek, AZ 85142

21321 E Ocotillo Rd
Ste 127
Queen Creek, AZ 85142
Phone (480) 888-7271

21321 E Ocotillo Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 245-6288

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: jenwright@luxewomenshealth.kareodirect.com

Organizations & group practices 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1982618559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22424 S ELLSWORTH LOOP RD UNIT 1007",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427124",
            "telephone_number": "480-550-5117",
            "fax_number": "480-452-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 126",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425995",
            "telephone_number": "480-550-5117",
            "fax_number": "833-424-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-BENNION",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "2877344402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP5401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "978215",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenwright@luxewomenshealth.kareodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21321 E Ocotillo Rd Ste 127",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenwright@luxewomenshealth.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Messaging Function",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22424 S Ellsworth Loop Rd Unit 1007",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851427124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.