Individual provider Active NPI

Jennifer Lyn Stanley, D.O.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1487040283
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S1926 Issued in TX
Practice address
One Baylor Plaza, Bcm610
Houston, TX 77030
Phone
(832) 826-7372
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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 591584 TX
Obstetrics & Gynecology Physician 207V00000X S1926 TX Primary

Addresses

Primary practice location

One Baylor Plaza, Bcm610
Houston, TX 77030

Mailing address

6550 Fannin St Ste 2221
Houston, TX 77030-2722
Phone (713) 797-9666

Other practice location 1

6550 Fannin St Ste 2221
Houston, TX 77030-2722
Phone (713) 797-9666

Other identifiers 1

IdentifierTypeStateIssuer
406155801MedicaidTX

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
I20190802001270 TX Practitioner - Obstetrics/Gynecology 8022345719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6550 Fannin St
Suite 2221
Houston, TX 77030-2722
Phone (713) 797-9666

6565 Fannin St
Houston, TX 77030-2703

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
591584TXMDRegistered Nurse First Assistant
S1926TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2019 Accepting new patients
Houston Methodist Specialty Physicians Obstetrics & Gynecology CurrentSince Jan 1, 2026 Accepting new patients
Houston Methodist Past Accepting new patients
The Methodist Hospital Past Accepting new patients
Baylor College of Medicine Obstetrics & Gynecology Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 2221
Houston, TX 77030
Phone (713) 441-5800

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: jstanley235781@directhoustonmethodist.org

Organizations & group practices 6

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 1

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1487040283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 2221",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302722",
            "telephone_number": "713-797-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA, BCM610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-826-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St Ste 2221",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302722",
            "country_code": "US",
            "telephone_number": "713-797-9666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "591584",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S1926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406155801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.