Individual provider Active NPI

Jennifer Schmoker, FNP

  • Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1205819612
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
608569 Issued in TX
Practice address
17191 St Lukes Way
Conroe, TX 77384-8042
Phone
(936) 273-2016
Fax
(936) 273-2018
NPI assigned
Nov 21, 2005
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 608569 TX Primary
Family Nurse Practitioner 363LF0000X AP110508 TX

Addresses

Primary practice location

17191 St Lukes Way
Conroe, TX 77384-8042

Mailing address

3805 Meadow View Dr
College Station, TX 77845-7322
Phone (806) 789-0608

Other practice location 1

FMC Palliative Care LLC
2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7717

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
I20080731000658 TX Practitioner - Nurse Practitioner 4981778479 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurelio R Cervera MD PAGroup PAC ID 0042678427, 3 clinicians
Michael McPherson MD PAGroup PAC ID 7315271400, 10 clinicians

Practice addresses (Care Compare)

3223 S Loop
289 Suite 460
Lubbock, TX 79423-1368
Phone (806) 516-5922

5406 Colgate St
Lubbock, TX 79416-3205
Phone (806) 507-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
608569TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physiatry Group LLC CurrentSince Mar 13, 2023 Accepting new patients
Dr Paul Chebib MD PA CurrentSince Aug 1, 2018 Accepting new patients
Michael E Jones MD PA CurrentSince Feb 5, 2014 Accepting new patients
Terry Memorial Hospital District CurrentSince Jun 22, 2018 Accepting new patients
Terry Memorial Hospital District CurrentSince Jun 22, 2018 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 5, 2024 Accepting new patients
Michael McPherson, M.D. P.a. CurrentSince Feb 1, 2024 Accepting new patients
Aurelio R Cervera MD PA CurrentSince Oct 3, 2023 Accepting new patients
Lubbock Cardiology Specialists, PA Past Accepting new patients

Locations

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

703 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

1121 Briarcrest Dr
Ste 303
Bryan, TX 77802
Phone (409) 774-1500

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

116 John Dupree Dr
Ste C
Levelland, TX 79336
Phone (806) 516-5922

10507 Quaker Ave
Unit 101
Lubbock, TX 79424
Phone (806) 368-8311

3223 S Loop 289
Ste 130
Lubbock, TX 79423

4302 Princeton St
Lubbock, TX 79415
Phone (806) 740-8400

4316 23rd St
Lubbock, TX 79410
Phone (806) 516-5922

4321 Marsha Sharp Fwy
Lubbock, TX 79407
Phone (806) 701-5858

4510 27th St
Lubbock, TX 79410
Phone (806) 776-0639

5406 Colgate St
Lubbock, TX 79416
Phone (806) 507-3500

850 Central Pkwy E
Ste 275
Plano, TX 75074

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

Interoperability endpoints

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

Organizations & group practices 10

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1205819612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MEADOW VIEW DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457322",
            "telephone_number": "806-789-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848042",
            "telephone_number": "936-273-2016",
            "fax_number": "936-273-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "FMC Palliative Care LLC",
            "address_2": "2501 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79109",
            "country_code": "US",
            "telephone_number": "806-350-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMOKER",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "608569",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.