Jennifer Rubio Gredicek, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP124084 Issued in TX

Practice address

500 N Capital of Texas Hwy # 6
Austin, TX 78746-3302

Phone

(855) 481-8375

NPI assigned

Aug 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of Texas Medical School at San Antonio, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.gredicek.1@28292.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Harbor Health Medical Group

  • Family Medicine Physician
  • Austin, TX
  • NPI 1396486619
  Medicare reassignment Care Compare group NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment
• Airrosti Rehab Centers, LLC

  • Rehabilitation Chiropractor
  • San Antonio, TX
  • NPI 1497989479
  NPD (past)

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1073946984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST",
            "address_2": "SUITE B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442713",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CAPITAL OF TEXAS HWY # 6",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787463302",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREDICEK",
        "first_name": "JENNIFER",
        "middle_name": "RUBIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "642100",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "AP124084",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340893201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Austin Urology, PLLC
• Karen Greathouse, L. AC.
• Mikaela Greathouse
• Greatness Awaits Counseling Services PLLC
• Anna Grechka, RD
• Christina Lynn Greeley, LPC
• Green Apple Pediatric Dentistry, PLLC
• Green Senior Care LLC
• Sara Dorinda Green-Otero, LCSW
• Terry Lynn Green-Witty, RPH, BCPP

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.