JENNIFER ENRIQUEZ PA-C - NPI 1144036849 - Physician Assistant in Tucson, AZ

Q: What is Jennifer Enriquez's NPI number?

The NPI number for Jennifer Enriquez is 1144036849. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Q: What is Jennifer Enriquez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Enriquez was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Enriquez Pa-c NPPES

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

JENNIFER ENRIQUEZ PA-C (NPI 1144036849) is an individual medical provider in Tucson, Arizona, licensed in Arizona (11295) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Valley, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144036849

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER ENRIQUEZCredential: PA-C

Location Address3611 N CAMPBELL AVETucson, AZ 85719-1534

Mailing Address3611 N Campbell AveTucson, AZ 85719-1534 · (520) 694-4650 · Fax (520) 694-4651

Phone(520) 694-4650

Fax(520) 694-4651

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 6, 2024

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1144036849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 11295

3611 N CAMPBELL AVE, Tucson, AZ 85719

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Secondary Practice Location 1

Location 11055 N La Canada Dr Ste 131Green Valley, AZ 85614-3700 · Phone (520) 589-2039 · Fax (520) 589-2039

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Enriquez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062909427

PECOS Enrollment IDI20251017002733

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

KIMBERLY BERGERON FNP

Nurse Practitioner