Individual provider Active NPI

Jenny Snow Carl, MD

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1396712691
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2916 Issued in TX
Practice address
7300 Bosque Blvd
Waco, TX 76710-4023
Phone
(254) 202-2600
NPI assigned
Mar 6, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2916 TX Primary

Addresses

Primary practice location

7300 Bosque Blvd
Waco, TX 76710-4023

Mailing address

PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-9330

Other practice location 1

120 Hillcrest Medical Blvd, Ste 300
Office Building II
Waco, TX 76712
Phone (254) 313-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarl62651@direct.sw.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000952 TX Practitioner - Family Practice 1850315391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcrest Family Health CenterGroup PAC ID 4183612278, 62 clinicians

Practice addresses (Care Compare)

7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2916TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince Apr 25, 2018 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Hillcrest Family Health Center Family Medicine CurrentSince Jul 18, 2023 Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince Apr 25, 2018 Accepting new patients
Hillcrest Physician Services Family Medicine PastSince Jul 18, 2023 Accepting new patients

Locations

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

7300 Bosque Blvd
Waco, TX 76710
Phone (254) 202-2600

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

Interoperability endpoints

  • Direct secure messaging: jcarl62651@direct.sw.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1396712691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-9330",
            "fax_number": "254-202-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BOSQUE BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104023",
            "telephone_number": "254-202-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Hillcrest Medical Blvd, Ste 300",
            "address_2": "Office Building II",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76712",
            "country_code": "US",
            "telephone_number": "254-313-6500",
            "fax_number": "254-313-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "JENNY",
        "middle_name": "SNOW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarl62651@direct.sw.org",
            "affiliation": "N",
            "address_1": "7300 Bosque Blvd",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767104023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.