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JESSIE-ANNE PENKOFF AU.D.
NPI 1043863350
Audiologist-Hearing Aid Fitter in Tucson, AZ

Active since July 17, 2019
3838 N CAMPBELL AVE BLDG 2, TUCSON, AZ 85719(520) 694-6393 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, May 5, 2022, Jul 17, 2019 (3 updates tracked since 2019).

About Jessie-anne Penkoff Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSIE-ANNE PENKOFF AU.D. (NPI 1043863350) is an individual audiologist-hearing aid fitter provider in Tucson, Arizona and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1043863350
Entity TypeIndividualFemale
Primary Taxonomy237600000X
Provider Legal NameJESSIE-ANNE PENKOFFCredential: AU.D.
Location Address3838 N CAMPBELL AVE BLDG 2Tucson, AZ 85719-1454
Mailing Address8314 N Firethorn AveTucson, AZ 85741-1009 · (480) 201-9630
Phone(520) 694-6393
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1043863350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
3838 N CAMPBELL AVE BLDG 2, Tucson, AZ 85719
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie-anne Penkoff Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jessie-anne Penkoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner-University Medical Group
5.2 mi
Nutrition, Education
6261 N LA CHOLLA BLVD STE 131
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1639842677 (520) 694-5437
Adam Dipuccio L.L.C.
91 mi
Audiologist
5202 E. MAIN STREET, SUITE #105
Mesa, AZ 85205
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Adam Dipuccio LLC
  • 8 clinicians in this Medicare group
NPI 1881708261 (480) 218-1328

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERESA RENE WORSTELL SAFER MD
Obstetrics & Gynecology
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-8888
BRIDGET MALONEY MS
Genetic Counselor, MS
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-8888
DR. GEORGE O MAISH III MD
Surgery (Trauma Surgery)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 626-2479
MATTHEW DOUGLAS GREER MD
Radiology (Radiation Oncology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-7236
DR. MEDHA TANDON MD
Psychiatry & Neurology (Neurology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-8888
DR. SULAIMAN AZIZ RATHORE M.D
Internal Medicine (Interventional Cardiology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-3278
HOSSEIN ARDEHALI MD
Internal Medicine (Cardiovascular Disease)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-3278
JESSICA ANN PHYU
Pharmacist
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pima County (520) 694-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessie-anne Penkoff's NPI number?

The NPI number for Jessie-anne Penkoff is 1043863350. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Jessie-anne Penkoff located?

Jessie-anne Penkoff practices at 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719. The listed phone number is (520) 694-6393.

What is Jessie-anne Penkoff's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

Is Jessie-anne Penkoff enrolled in Medicare?

Yes. Jessie-anne Penkoff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessie-anne Penkoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie-anne Penkoff reassigns Medicare benefits to 2 organizations: Banner-University Medical Group (Tucson, AZ) and Adam Dipuccio L.L.C. (Mesa, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessie-anne Penkoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessie-anne Penkoff accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, HMO Louisiana and Moda Health Plan, Inc. and 3 other insurers list Jessie-anne Penkoff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessie-anne Penkoff was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.