Individual provider Active NPI

Aubree A Jennings, NP-C

  • Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1104335983
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135201 Issued in TX
Practice address
3701 Fairway Blvd Ste 114
Wichita Falls, TX 76310-1038
Phone
(940) 557-5320
Fax
(940) 557-5324
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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 AP135201 TX Primary

Addresses

Primary practice location

3701 Fairway Blvd Ste 114
Wichita Falls, TX 76310-1038

Mailing address

3210 Midwestern Pkwy Ste 500
Wichita Falls, TX 76308-2860

Other identifiers 1

IdentifierTypeStateIssuer
AP135201OtherTXTEXAS BON APRN

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
I20171214003062 TX Practitioner - Nurse Practitioner 9830457183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

5406 Wesley St
Integrity Urgent Care
Greenville, TX 75402-6311
Phone (254) 328-0550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Apr 1, 2024 Accepting new patients
DCS Medical PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

5406 Wesley St
Greenville, TX 75402
Phone (254) 328-0550

3701 Fairway Blvd
Ste 114
Wichita Falls, TX 76310
Phone (325) 701-9270

4518 Kemp Blvd
Wichita Falls, TX 76308
Phone (254) 328-0550

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1104335983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 MIDWESTERN PKWY STE 500",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 FAIRWAY BLVD STE 114",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101038",
            "telephone_number": "940-557-5320",
            "fax_number": "940-557-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "AUBREE",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BON APRN",
            "identifier": "AP135201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.