Active NPI
Jessica Renee Tryon, FNP-C
- Family Nurse Practitioner
- Tolar, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1068383
- Practice address
- 626 Billings Rd
Tolar, TX 76476-5423 - Phone
- (817) 776-6115
- NPI assigned
- Jan 21, 2022
- Last updated
- Apr 24, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1068383 | TX | Primary |
Addresses
Primary practice location
626 Billings Rd
Tolar, TX 76476-5423
Mailing address
626 Billings Rd
Tolar, TX 76476-5423
Phone (817) 776-6115
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 Paluxy Rd
Suite a
Granbury, TX 76048-5641
Phone (817) 573-6673
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1068383 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore ENT | Current | Accepting new patients | |
| Freedom Pain Care LLC | Past | Accepting new patients |
Locations
1305 Paluxy Rd
Ste A
Granbury, TX 76048
Phone (817) 573-6673
925 Santa Fe Dr
Ste 112
Weatherford, TX 76086
Phone (817) 533-5233
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Facial Plastic Surgery Physician
- Granbury, TX
- NPI 1003096991
-
- Certified Registered Nurse Anesthetist
- Arlington, TX
- NPI 1013008895
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
dba Glen Rose Medical Center
- Rural Acute Care Hospital
- Glen Rose, TX
- NPI 1700826575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1376295220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 BILLINGS RD",
"city": "TOLAR",
"state": "TX",
"postal_code": "764765423",
"telephone_number": "817-776-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 BILLINGS RD",
"city": "TOLAR",
"state": "TX",
"postal_code": "764765423",
"telephone_number": "817-776-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYON",
"first_name": "JESSICA",
"middle_name": "RENEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1068383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tolar, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.