Jennifer Wegenhoft, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10912 Issued in TX

Practice address

610 S Austin Rd
Eagle Lake, TX 77434-3202

Phone

(979) 234-2551

Fax

(979) 234-5994

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Lauren Traylor Former name

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

Physician Assistant

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rice Medical Center Hospital, Eagle Lake, TX, CCN 451312
• Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
• Rice Medical Center Nursing home, CCN 45Z312

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/elcampo-b0e6e0bc

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.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment
• Best Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Willis, TX
  • NPI 1720621246
  Medicare reassignment
• El Campo Memorial Hospital

  • Rural Health Clinic/Center
  • El Campo, TX
  • NPI 1427334077
  Medicare reassignment
• Eagle Lake Community Hospital

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1538884192
  NPD
• El Campo Memorial Hospital

  • General Acute Care Hospital
  • El Campo, TX
  • NPI 1003192311
  NPD
• El Campo Memorial Hospital

  • Family Medicine Physician
  • El Campo, TX
  • NPI 1275332066
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Care Compare affiliation
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442

  Hospital

  Care Compare affiliation
• Columbus Community Hospital

  • Rural Acute Care Hospital
  • Columbus, TX
  • NPI 1740238641
  Care Compare affiliation

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1104374396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S AUSTIN RD",
            "city": "EAGLE LAKE",
            "state": "TX",
            "postal_code": "774343202",
            "telephone_number": "979-234-2551",
            "fax_number": "979-234-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S AUSTIN RD",
            "city": "EAGLE LAKE",
            "state": "TX",
            "postal_code": "774343202",
            "telephone_number": "979-234-2551",
            "fax_number": "979-234-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENHOFT",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1137272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRAYLOR",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachelle Shorter
• Andrea Sims
• Brynna Lee Spiess, M.S., CCC-SLP
• Ashley Starks
• Raymond Russell Thomas Jr., DO
• West Wharton County Hospital District

• Physician Assistant in Eagle Lake, TX
• Providers in Eagle Lake, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.