Individual provider Active NPI

Jennifer Kwan Culajara, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1174294565
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1059307 Issued in TX
Practice address
6250 US Highway 83
Abilene, TX 79606-5215
Phone
(325) 428-1000
NPI assigned
Sep 24, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1059307 TX Primary

Addresses

Primary practice location

6250 US Highway 83
Abilene, TX 79606-5215

Mailing address

6200 Regional PLZ Ste 1450
Abilene, TX 79606-5259

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
I20220706003484 TX Practitioner - Nurse Practitioner 1658751797 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince May 23, 2022 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince May 23, 2022 Accepting new patients
Abilene Internal Medicine Associates, PLLC CurrentSince Jan 17, 2025 Accepting new patients
Big Bend Medical Group CurrentSince Oct 16, 2024 Accepting new patients
Big Bend Medical Group CurrentSince Oct 16, 2024 Accepting new patients

Locations

6200 Regional Plz
Ste 1450
Abilene, TX 79606
Phone (325) 795-9288

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

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.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1174294565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ STE 1450",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 US HIGHWAY 83",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065215",
            "telephone_number": "325-428-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULAJARA",
        "first_name": "JENNIFER",
        "middle_name": "KWAN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1059307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.