Individual provider Active NPI

Ginger Jendro, FNP-C

  • Family Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1114473659
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
597042 Issued in TX
Practice address
90 S Magnolia Pond PL
The Woodlands, TX 77381-5004
Phone
(806) 632-4819
Fax
(833) 420-1614
NPI assigned
Aug 25, 2016
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 597042 TX Primary

Addresses

Primary practice location

90 S Magnolia Pond PL
The Woodlands, TX 77381-5004

Mailing address

1619 4TH Ave
Canyon, TX 79015-3824
Phone (806) 557-4674

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
I20171215001936 TX Practitioner - Nurse Practitioner 0840558029 Reassigns benefits to 1 organization
Practice locations: The Woodlands, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 S Magnolia Pond PL
The Woodlands, TX 77381-5004
Phone (936) 537-0315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
597042TXMDFamily Nurse Practitioner

Organizations & group practices 1

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 6

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1114473659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153824",
            "telephone_number": "806-557-4674",
            "fax_number": "806-557-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S MAGNOLIA POND PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773815004",
            "telephone_number": "806-632-4819",
            "fax_number": "833-420-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDRO",
        "first_name": "GINGER",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "597042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.