Active NPI
Jana Leigh Redwine, PA-C
- Physician Assistant
- Lubbock, TX
National Provider Identifier
1356396808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04272
- Practice address
- 301 Utica Ave
Lubbock, TX 79416-3111 - Phone
- (806) 797-4985
- Fax
- (806) 744-7545
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04272 | TX | Primary |
Addresses
Primary practice location
301 Utica Ave
Lubbock, TX 79416-3111
Mailing address
301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00277809 | Other | TX | MEDICARE RAILROAD |
| 8N7639 | Other | TX | BLUE CROSS/BLUE SHIELD TX |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041118000807 | TX | Practitioner - Physician Assistant | 5193789386 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Orthopedic Surgery L.L.P.
Practice addresses (Care Compare)
301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985
Hospital & facility affiliations
- Lubbock Heart Hospital LP
- Grace Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason a Ramsey Mdpa Sportszone Orthopedics | Current | Accepting new patients |
Locations
301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985
Interoperability endpoints
- jana.redwine@direct.myteamcare.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Lubbock, TX
- NPI 1801401229
Hospital & facility affiliations 2
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": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1356396808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UTICA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163111",
"telephone_number": "806-797-4985",
"fax_number": "806-744-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UTICA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163111",
"telephone_number": "806-797-4985",
"fax_number": "806-744-7545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDWINE",
"first_name": "JANA",
"middle_name": "LEIGH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00277809",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD TX",
"identifier": "8N7639",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.