Individual provider Active NPI

Jennifer Lynn Fornari, APRN, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1003704552
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1205037 Issued in TX
Practice address
10709 Milwaukee Ave
Lubbock, TX 79424-6153
Phone
(806) 207-3703
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1205037 TX Primary

Addresses

Primary practice location

10709 Milwaukee Ave
Lubbock, TX 79424-6153

Mailing address

2910 Saratoga Ave
Lubbock, TX 79407-2720
Phone (806) 787-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805004361 TX Practitioner - Nurse Practitioner 9739697186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Lubbock Primary Care, PLLCGroup PAC ID 1951687946, 15 clinicians

Practice addresses (Care Compare)

10709 Milwaukee Ave
Lubbock, TX 79424-6153
Phone (806) 701-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Primary Care, PLLC CurrentSince Jul 24, 2025 Accepting new patients
Physician Management Services of Texas II, LLC PastSince Jul 24, 2025 Accepting new patients

Locations

10709 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 207-3703

11007 Quaker Ave
Lubbock, TX 79424
Phone (806) 548-6010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJIAD/Endpoint/CHJIAD

Organizations & group practices 2

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1003704552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SARATOGA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072720",
            "telephone_number": "806-787-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246153",
            "telephone_number": "806-207-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNARI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1205037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.