Jennifer Natasha Rose Ellison, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130659 Issued in TX

Practice address

377 W Campbell Rd Ste 100
Richardson, TX 75080-3695

Phone

(469) 232-2945

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Natasha Rose Former name

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Preferred Mobile Wound Solutions LLCGroup PAC ID 6901245919, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.ellison.1@30520.direct.athenahealth.com
• Direct secure messaging: jennifer.ellison.1@27433.direct.athenahealth.com

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.

• Preferred Mobile Wound Solutions LLC

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1184482895

  Family

  Medicare reassignment Care Compare group NPD
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  TX

  Medicare reassignment Care Compare group NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment NPD
• Preferred Mobile Wound Solutions LLC

  • Nurse Practitioner
  • Arlington, TX
  • NPI 1700633070
  NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1356651954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 W CAMPBELL RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803695",
            "telephone_number": "585-397-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W CAMPBELL RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803695",
            "telephone_number": "469-232-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Fuller Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386530",
            "country_code": "US",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4119 BARNES AVENUE",
            "address_purpose": "LOCATION",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "country_code": "US",
            "telephone_number": "718-515-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JENNIFER",
        "middle_name": "NATASHA ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "ANCC2026022680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSE",
            "middle_name": "NATASHA",
            "credential": "APRN,FNP-BC,PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Elkady, LPC
• Elliott Brodbaker, MD, PLLC
• Karen Elliott, NNP
• Lisa O'Neill Ellis, D.C.
• Ross A Ellis, DC
• Amara Elmer, RBT
• Mohamad Elzaim, MD
• Emcare RSN Emergency Physicians PLLC
• Emergency Medicine Specialists, LLP
• Emergident PLLC

• Family Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.