Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Nicole Janette Menefee, PA-C

Individual provider Physician Assistant · NPI 1407122880

MS. Nicole Janette Menefee, PA-C is a Physician Assistant in Tempe, Arizona. Qualified in 2011, 15 years ago. Practices with Iora Senior Health LLC, a 125-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alabama, Arizona and California.

Years since qualifying
15
Licensed in
AL, AZ, CA
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

222 S Mill Ave Ste 123
Tempe, AZ 85281-6481
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 619 E Laurel Ave, Foley, AL 36535-3301 — (251) 943-5689

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5069 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 54408 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA.790 (AL)

Record details

NPI number1407122880
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Iora Senior Health Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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