Jennifer Lynn Carlson, NP-C
Individual provider Active NPI Family Nurse Practitioner · Bedford, TX
NPI 1275929390 · NPPES record last updated Sep 19, 2016
Key facts
- NPI
- 1275929390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP127945 (TX)
- Practice address
- 1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936 - Phone
- (817) 684-5002
- Fax
- (817) 684-5150
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Health Physicians Group
Practice addresses (Care Compare)
1615 Hospital Pkwy
Suite 204
Bedford, TX 76022-5936
Phone (817) 684-5002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151021002361 | TX | Practitioner - Nurse Practitioner | 8527377191 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP127945 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current |
Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current |
Accepting new patients |
Locations
1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002
1615 Hospital Pkwy
Ste 300
Bedford, TX 76022
Phone (817) 267-4201
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
Interoperability endpoints
- jcarlson47270@direct.texashealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP127945 | TX | Yes |
Addresses
Primary practice location
1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936
Mailing address
1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936
Phone (817) 684-5002
Other providers in Bedford, TX
- Calista Group Inc.
- Kaeli Evelyn Cantwell
- Cardiac Cath Lab of Mid Cities, LP
- Cardiovascular & Thoracic Specialty Group, P.a.
- Caredirectdme
- Connie Jeanette Carlstrom
- Carolina Consulting & Planning Agency
- Carroll Interventionalpain Center, LLC
- Carter Bloodcare
- David James Carter
All providers in Bedford, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.