Individual provider Active NPI

Jana Leigh Redwine, PA-C

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1356396808
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04272 Issued in TX
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

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00277809OtherTXMEDICARE RAILROAD
8N7639OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 3173579844, 13 clinicians

Practice addresses (Care Compare)

301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985

Hospital & facility affiliations

  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a Ramsey Mdpa Sportszone Orthopedics CurrentSince Jan 4, 2026 Accepting new patients

Locations

301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.