Individual provider Active NPI

Jennifer Rozelle, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043634181
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09017 Issued in TX
Practice address
2529 S 1St St
Austin, TX 78704-5466
Phone
(512) 978-9500
Fax
(512) 978-9558
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 PA09017 TX Primary

Addresses

Primary practice location

2529 S 1St St
Austin, TX 78704-5466

Mailing address

2529 S 1St St
Austin, TX 78704-5466
Phone (512) 978-9500

Other names 1

  • Jennifer Truglio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180524000758 TX Practitioner - Physician Assistant 6103147095 Reassigns benefits to 3 organizations
I20230516003767 CO Practitioner - Physician Assistant 6103147095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

9362 Grand Cordera Pkwy
Suite 100
Colorado Springs, CO 80924-7007
Phone (888) 374-5066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA09017TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Apr 1, 2023 Accepting new patients
Family Care Center, LLC Physician Assistant CurrentSince Apr 1, 2023 Accepting new patients

Locations

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

9524 Federal Dr
Ste 120
Colorado Springs, CO 80921
Phone (719) 394-3352

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

9362 Grand Cordera Pkwy
Ste 100
Colorado Springs, CO 80924
Phone (719) 345-0429

Organizations & group practices 5

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1043634181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045466",
            "telephone_number": "512-978-9500",
            "fax_number": "512-978-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045466",
            "telephone_number": "512-978-9500",
            "fax_number": "512-978-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELLE",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRUGLIO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.