Individual provider Active NPI

Jennifer C Carpenter, FNP

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1033744701
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145143 Issued in TX
Practice address
4501 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7843
Phone
(903) 408-5800
Fax
(903) 455-8232
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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 AP145143 TX Primary

Addresses

Primary practice location

4501 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7843

Mailing address

4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Phone (903) 408-5800

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
I20201215003137 TX Practitioner - Nurse Practitioner 4789096744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D and F Med, PLLCGroup PAC ID 6507774668, 8 clinicians

Practice addresses (Care Compare)

5005 Live Oak St
Greenville, TX 75402-6364
Phone (903) 455-3500

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145143TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Urgent Care CurrentSince Mar 1, 2021 Accepting new patients

Locations

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

810 E Ralph Hall Pkwy
Ste 100
Rockwall, TX 75032
Phone (469) 402-3400

Interoperability endpoints

  • Direct secure messaging: jennifer.carpenter.3@9148.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1033744701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017856",
            "telephone_number": "903-408-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017843",
            "telephone_number": "903-408-5800",
            "fax_number": "903-455-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.