Individual provider Active NPI

Jennifer Lynn Otway, NP

  • Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1053127902
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1180755 Issued in TX
Practice address
3415 North Heritage Parkway
Sherman, TX 75092
Phone
(903) 308-4336
Fax
(903) 771-4541
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1180755 TX Primary

Addresses

Primary practice location

3415 North Heritage Parkway
Sherman, TX 75092

Mailing address

400 S Culberson St Apt 8308
Gainesville, TX 76240-3860

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
I20241218000042 TX Practitioner - Nurse Practitioner 8820525611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Parkway Medical PLLCGroup PAC ID 0547595852, 3 clinicians

Practice addresses (Care Compare)

3415 N Heritage Pkwy
Sherman, TX 75092-6634
Phone (903) 308-4336

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Parkway Medical PLLC CurrentSince Nov 1, 2024 Accepting new patients
Ry Jay Z LLC Past Accepting new patients

Locations

2410 Luna Rd
Ste 202
Carrollton, TX 75006
Phone (214) 592-1854

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1053127902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S CULBERSON ST APT 8308",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 NORTH HERITAGE PARKWAY",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-308-4336",
            "fax_number": "903-771-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTWAY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1180755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.