Individual provider Active NPI

Jena Lalley, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1083241129
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145339 Issued in TX
Practice address
8723 Botts Lane
San Antonio, TX 78217
Phone
(210) 999-5523
NPI assigned
Mar 26, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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 AP145339 TX Primary

Addresses

Primary practice location

8723 Botts Lane
San Antonio, TX 78217

Mailing address

8723 Botts Lane
San Antonio, TX 78217
Phone (210) 999-5523

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
I20220613001655 TX Practitioner - Nurse Practitioner 7719365295 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
Dr. Rogers Medical Group PAGroup PAC ID 7315907565, 7 clinicians

Practice addresses (Care Compare)

2838 N Loop 1604 E
104 Dr. Rogers Wellness
San Antonio, TX 78232-1712
Phone (210) 495-2117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Advanced Wellness, Inc. CurrentSince May 3, 2020 Accepting new patients
Dr Rogers Medical Group PA. CurrentSince May 12, 2025 Accepting new patients

Locations

24200 Ih 10 W
Ste 107
San Antonio, TX 78257
Phone (210) 495-2117

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232
Phone (210) 495-2117

5539 W Loop 1604 N
Ste 10
San Antonio, TX 78253
Phone (210) 403-9400

8723 Botts St
San Antonio, TX 78217
Phone (210) 783-7333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFGBD/Endpoint/IAFGBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1083241129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8723 BOTTS LANE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-999-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 BOTTS LANE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-999-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLEY",
        "first_name": "JENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.