Individual provider Active NPI

Jennifer Anne Proffitt, PA-C

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1013365634
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10601 Issued in TX
Practice address
5028 122ND St
Lubbock, TX 79424-8398
Phone
(806) 749-7975
Fax
(806) 749-7937
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10601 TX Primary

Addresses

Primary practice location

5028 122ND St
Lubbock, TX 79424-8398

Mailing address

5028 122ND St
Lubbock, TX 79424-8398

Other practice location 1

6100 Lake Worth Blvd
Fort Worth, TX 76135-3703
Phone (817) 237-3321

Other practice location 2

5130 82nd St
Lubbock, TX 79424-3024
Phone (806) 761-0275

Other names 1

  • Jennifer Anne With Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jproffitt1288323@Direct.TexasHealth.org Health Information Exchange (HIE)
Direct Messaging Address jproffitt1288323@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20160801002155 TX Practitioner - Physician Assistant 6305139163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

5130 82ND St
Lubbock, TX 79424-3024
Phone (806) 761-0275

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10601TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Physician Assistant CurrentSince Mar 12, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2016 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2730 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 916-5180

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

6100 Lake Worth Blvd
Lake Worth, TX 76135
Phone (817) 237-3321

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

5130 82nd St
Lubbock, TX 79424
Phone (806) 761-0275

Interoperability endpoints

  • Direct secure messaging: jproffitt1288323@direct.texashealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1013365634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Lake Worth Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761353703",
            "country_code": "US",
            "telephone_number": "817-237-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5130 82nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243024",
            "country_code": "US",
            "telephone_number": "806-761-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jproffitt1288323@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6100 Lake Worth Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761353703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jproffitt1288323@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6100 Lake Worth Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761353703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WITH",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.