Individual provider Active NPI

Jennifer Sepeda, FNP

  • Family Nurse Practitioner
  • Plainview, TX
National Provider Identifier
1083080485
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128808 Issued in TX
Practice address
2601 Dimmitt Rd
Suite 104
Plainview, TX 79072-1833
Phone
(806) 291-0297
Fax
(806) 293-7354
NPI assigned
Aug 19, 2015
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 AP128808 TX Primary

Addresses

Primary practice location

2601 Dimmitt Rd
Suite 104
Plainview, TX 79072-1833

Mailing address

3423 S Soncy Rd
Suite 202
Amarillo, TX 79119-6400
Phone (806) 374-7341

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
I20150928002129 TX Practitioner - Nurse Practitioner 5597073387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC LTC Aco LLCGroup PAC ID 3678013729, 22 clinicians
FMC Long-Term Care PAGroup PAC ID 7416380423, 23 clinicians
Regence Health Network IncGroup PAC ID 5698682557, 24 clinicians

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-8277

3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341

410 Canyon St
Plainview, TX 79072-7508
Phone (806) 291-0297

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128808TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regence Health Network Inc CurrentSince Jan 4, 2016 Accepting new patients
Regence Health Network Inc CurrentSince Jan 4, 2016 Accepting new patients
FMC Long-Term Care, P.a. Family CurrentSince May 15, 2025 Accepting new patients
FMC LTC Aco LLC CurrentSince May 15, 2025 Accepting new patients
Regence Health Network Inc Past Accepting new patients

Locations

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341

2601 Dimmitt Rd
#104
Plainview, TX 79072
Phone 8062910297 ext. 2064

2601 Dimmitt Rd
Ste 104
Plainview, TX 79072
Phone (806) 291-0297

2801 W 8th St
Plainview, TX 79072
Phone (806) 293-0921

410 Canyon St
Plainview, TX 79072
Phone (806) 291-0297

Interoperability endpoints

  • Direct secure messaging: jennifer.sepeda.1@12120.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1083080485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 S SONCY RD",
            "address_2": "SUITE 202",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196400",
            "telephone_number": "806-374-7341",
            "fax_number": "806-322-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD",
            "address_2": "SUITE 104",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-291-0297",
            "fax_number": "806-293-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPEDA",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.