Individual provider Active NPI

Jennifer Michelle Owen, MD

  • Gynecology Physician
  • Lubbock, TX
National Provider Identifier
1477517555
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
L9837 Issued in TX
Practice address
5028 122ND St
Lubbock, TX 79424-8398
Phone
(806) 749-7975
Fax
(806) 749-7937
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L9837 TX
Gynecology Physician 207VG0400X L9837 TX Primary

Addresses

Primary practice location

5028 122ND St
Lubbock, TX 79424-8398

Mailing address

5028 122ND St
Lubbock, TX 79424-8398
Phone (806) 749-7975

Other identifiers 1

IdentifierTypeStateIssuer
177003401MedicaidTX

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
I20050920001158 TX Practitioner - Obstetrics/Gynecology 7719911692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owen Health Group, PLLCGroup PAC ID 2769767839, 2 clinicians

Practice addresses (Care Compare)

5028 122ND St
Lubbock, TX 79424-8398
Phone (806) 749-7975

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owen Health Group, PLLC Gynecology CurrentSince May 1, 2017 Accepting new patients

Locations

5028 122nd St
Lubbock, TX 79424
Phone (806) 392-0403

Interoperability endpoints

  • Direct secure messaging: owenhealthroupllc.jenniferowen@136464.advancedmd-direct.com
  • Direct secure messaging: jowen@yourcarecommunity.org

Organizations & group practices 1

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 6

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1477517555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L9837",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "L9837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177003401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.