Individual provider Active NPI

Jennifer Marie Pape, M.D.

  • Pediatrics Physician
  • Flower Mound, TX
National Provider Identifier
1245404805
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N5315 Issued in TX
Practice address
3041 Churchill Dr
Suite 300
Flower Mound, TX 75022-2706
Phone
(972) 691-1240
Fax
(972) 691-2073
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N5315 TX Primary

Addresses

Primary practice location

3041 Churchill Dr
Suite 300
Flower Mound, TX 75022-2706

Mailing address

3041 Churchill Dr
Suite 300
Flower Mound, TX 75022-2706
Phone (972) 691-1240

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000430 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9032306592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N5315TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince Dec 1, 2021 Accepting new patients
Texas Health Harris Methodist Hospital Fort Worth Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients
Texas Health Harris Methodist Hospital Southwest Fort Worth Past Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients
Texas Health Arlington Memorial Hospital Past Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3500 Gaston Ave
Dallas, TX 75246

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1245404805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "SUITE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "SUITE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N5315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.