Individual provider Active NPI

Jessica Denea Lander, FNP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1023862661
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1157255 Issued in TX
Practice address
4206 Call Field Rd
Wichita Falls, TX 76308-2519
Phone
(940) 397-5200
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 1157255 TX Primary

Addresses

Primary practice location

4206 Call Field Rd
Wichita Falls, TX 76308-2519

Mailing address

5130 Langford LN
Wichita Falls, TX 76310-3422

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
I20240423001635 TX Practitioner - Nurse Practitioner 8729427828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates LLPGroup PAC ID 1658368261, 9 clinicians

Practice addresses (Care Compare)

4206 Call Field Rd
Wichita Falls, TX 76308-2519
Phone (940) 397-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1157255TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates LLP CurrentSince Aug 1, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Dec 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 17, 2024 Accepting new patients
Ann L. Nolen PA Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4206 Call Field Rd
Wichita Falls, TX 76308
Phone (940) 397-5200

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 3

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1023862661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 LANGFORD LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 CALL FIELD RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082519",
            "telephone_number": "940-397-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "JESSICA",
        "middle_name": "DENEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1157255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.