Individual provider Active NPI

Jennifer Torres, PA

  • Surgical Physician Assistant
  • Round Rock, TX
National Provider Identifier
1285989491
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA15789 Issued in TX
Practice address
4700 Campus Village Dr Ste 100
Round Rock, TX 78665-3025
Phone
(512) 439-1000
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 22577 CA
Surgical Physician Assistant 363AS0400X 22577 CA
Surgical Physician Assistant 363AS0400X PA15789 TX Primary

Addresses

Primary practice location

4700 Campus Village Dr Ste 100
Round Rock, TX 78665-3025

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 1

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20121009000098 CA Practitioner - Physician Assistant 2365691383
I20241118004104 TX Practitioner - Physician Assistant 2365691383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3755 S Capital of Texas Hwy
Suite 130
Austin, TX 78704-6623
Phone (512) 439-1000

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

4700 Campus Village Dr
Suite 100
Round Rock, TX 78665-3025
Phone (512) 439-1000

4700 Seton Ctr Pkwy
Austin, TX 78759-4107
Phone (512) 439-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15789TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John Qian M.D. Inc. CurrentSince Apr 15, 2021 Accepting new patients
John Qian M.D. Inc. CurrentSince Apr 15, 2021 Accepting new patients
Ortholonestar, PLLC CurrentSince Dec 2, 2024 Accepting new patients
Ortholonestar, PLLC CurrentSince Dec 2, 2024 Accepting new patients
Ben Mousavi MD Medical Corporation PastSince Sep 1, 2021 Accepting new patients
Jabari Reeves MD Medical Corporation Past Accepting new patients

Locations

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

4700 Campus Village Dr
Ste 100
Round Rock, TX 78665
Phone (512) 439-1004

Interoperability endpoints

  • Direct secure messaging: jennifer.torres.1@15533.direct.athenahealth.com

Organizations & group practices 6

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1285989491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CAMPUS VILLAGE DR STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653025",
            "telephone_number": "512-439-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Seton Center Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594107",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22577",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "22577",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.