DR. JESSICA ASHLEY BLACK DO
NPI 1285215053
Pediatrics in Tucson, AZ

Active since April 14, 2021PECOS Enrolled
1501 N CAMPBELL AVE, TUCSON, AZ 85721(520) 626-4657 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2022, Apr 14, 2021 (2 updates tracked since 2021).

About Dr. Jessica Ashley Black Do NPPES

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

DR. JESSICA ASHLEY BLACK DO (NPI 1285215053) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (R3758) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1285215053
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JESSICA ASHLEY BLACKCredential: DO
Location Address1501 N CAMPBELL AVETucson, AZ 85721-9498
Mailing Address1501 N Campbell AveTucson, AZ 85724-5073 · (520) 626-7944 · Fax (520) 626-5652
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2022
Enumeration DateApril 14, 2021
Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
NPI 1285215053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AZ · R3758
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1501 N CAMPBELL AVE, Tucson, AZ 85721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jessica Ashley Black Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911387360
PECOS Enrollment IDI20250806002708
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
1501 N CAMPBELL AVE
TUCSON, AZ 85721

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 Jessica Black's NPI number?

The NPI number for Jessica Black is 1285215053. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Jessica Black located?

Jessica Black practices at 1501 N Campbell Ave, Tucson, AZ 85721. The listed phone number is (520) 626-4657.

What is Jessica Black's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Black enrolled in Medicare?

Yes. Jessica Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Black was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.