Jacquelyn Renneberg, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP136074 Issued in TX

Practice address

17189 I 45 S Ste 475
Shenandoah, TX 77385-3320

Phone

(936) 270-3933

Fax

(713) 791-5134

NPI assigned

Dec 13, 2017

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrenneberg170358@directhoustonmethodist.org

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.

• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment Care Compare group NPD
• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment Care Compare group
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• TMH Physician Associates PLLC

  dba TMHPO Orthopedics Department

  • Orthopaedic Surgery Physician
  • Pearland, TX
  • NPI 1386827442
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Health Centers

  dba Houston Methodist The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1275048118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 I H 45 S STE 475",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3933",
            "fax_number": "713-791-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 I 45 S STE 475",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3933",
            "fax_number": "713-791-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17201 I H 45 S",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773853311",
            "country_code": "US",
            "telephone_number": "936-270-3933",
            "fax_number": "713-791-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNEBERG",
        "first_name": "JACQUELYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP136074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380656401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RCW Neurotherapy & Wellness Clinic
• Caelan Reaves
• Vikas Davlapur Reddy, MD
• Regional Digestive Consultants PA
• Rehabilitation & Spine Associates of Houston P.a.
• Reset Medical Practice P.a. (Reset Solutions)
• Respiratory Center of North Houston, P.a.
• Jamie Renee Rey, RD
• Rheumatology of the Woodlands PLLC
• Rheumatology Partners of Houston, PLLC

• Acute Care Nurse Practitioner in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.