Individual provider Active NPI

Jennifer Lynn Krick, PA-C

  • Surgical Physician Assistant
  • Allen, TX
National Provider Identifier
1235674664
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA15835 Issued in TX
Practice address
1120 Raintree Cir Ste 110
Allen, TX 75013-5257
Phone
(817) 442-9300
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60720076 WA
Surgical Physician Assistant 363AS0400X PA15835 TX Primary

Addresses

Primary practice location

1120 Raintree Cir Ste 110
Allen, TX 75013-5257

Mailing address

1120 Raintree Cir Ste 110
Allen, TX 75013-5257
Phone (817) 442-9300

Other practice location 1

3101 Northup Way Ste 201
Bellevue, WA 98004-1435
Phone (425) 455-3600

Other identifiers 1

IdentifierTypeStateIssuer
2337753MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170327000513 WA Practitioner - Physician Assistant 9335424779 Reassigns benefits to 1 organization
I20220608003010 TX Practitioner - Physician Assistant 9335424779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
Texas Health Back CareGroup PAC ID 1951604313, 50 clinicians

Practice addresses (Care Compare)

3101 Northup Way
Bellevue, WA 98004-1449

3142 Horizon Rd
Suite 100
Rockwall, TX 75032-7815
Phone (817) 442-9300

510 8TH Ave NE
Issaquah, WA 98029-5436

515 Minor Ave
Suite 200
Seattle, WA 98104-2133
Phone (425) 656-5060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15835TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Back Care Surgical CurrentSince Jun 13, 2022 Accepting new patients
Proliance Surgeons Inc., P.S. Surgical CurrentSince Mar 6, 2017 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Mar 6, 2017 Accepting new patients

Locations

1120 Raintree Cir
Ste 110
Allen, TX 75013

1305 Airport Fwy
Ste 406
Bedford, TX 76021
Phone (817) 318-1414

10900 Founders Way
Ste 101
Fort Worth, TX 76244
Phone (682) 651-1908

800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400

1340 S Main St
Ste 100
Grapevine, TX 76051
Phone (682) 651-1908

6957 W Plano Pkwy
Ste 2500
Plano, TX 75093
Phone (214) 483-6933

1970 W University Dr
Ste 210
Prosper, TX 75078
Phone (469) 757-7623

3509 Spectrum Blvd
#B
Richardson, TX 75082
Phone (972) 772-9600

3661 N Plano Rd
Ste 2200
Richardson, TX 75082

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

3101 Northup Way
Ste 201
Bellevue, WA 98004
Phone (425) 455-3600

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1235674664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135257",
            "telephone_number": "817-442-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135257",
            "telephone_number": "817-442-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Northup Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041435",
            "country_code": "US",
            "telephone_number": "425-455-3600",
            "fax_number": "425-455-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRICK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60720076",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2337753",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.