Active NPI
Justin Lee Wren, FNP-C
- Family Nurse Practitioner
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1000392
- Practice address
- 805 Hill Blvd Unit 102
Granbury, TX 76048-1482 - Phone
- (682) 205-3690
- NPI assigned
- Jun 7, 2025
- Sex
- Male
- 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 | 1000392 | TX | Primary |
Addresses
Primary practice location
805 Hill Blvd Unit 102
Granbury, TX 76048-1482
Mailing address
PO Box 14950
Oklahoma City, OK 73113-0950
Phone (682) 205-3690
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 Hill Blvd
Unit 102
Granbury, TX 76048-1482
Phone (682) 205-3690
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Past | Accepting new patients |
Locations
1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
805 Hill Blvd
Unit 102
Granbury, TX 76048
Phone (817) 346-5920
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Copperas Cove, TX
- NPI 1477297901
Hospital & facility affiliations 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1396639886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14950",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731130950",
"telephone_number": "682-205-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 HILL BLVD UNIT 102",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760481482",
"telephone_number": "682-205-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREN",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-07",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1000392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.