Active NPI
Jacqueline L Lockwood
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 117327
- Practice address
- 12200 Renfert Way
Suite 100
Austin, TX 78758-5614 - Phone
- (512) 451-8211
- Fax
- (512) 452-4095
- NPI assigned
- Apr 11, 2011
- 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 | 117327 | TX | Primary |
Addresses
Primary practice location
12200 Renfert Way
Suite 100
Austin, TX 78758-5614
Mailing address
12200 Renfert Way Ste 100
Austin, TX 78758-5654
Other practice location 1
530 Lytton Ave Fl 2
Palo Alto, CA 94301-1541
Phone (415) 663-5584
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12200 Renfert Way
Suite 100
Austin, TX 78758-5614
Phone (512) 451-8211
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.65 of 100
- Quality
- 92.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 49.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117327 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa OBGYN PLLC | Current | Accepting new patients | |
| Welltrackone Corporation | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Openloop Healthcare Partners New Jersey PC | Past | Accepting new patients |
Locations (25 of 26)
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519
650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872
128 State St
#3
Augusta, ME 04330
100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191
101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122
100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902
1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940
18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575
32 Office Park Rd
Ste 215
Hilton Head Island, SC 29928
Phone (515) 417-3515
12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
17 G W Tatro Dr
Jeffersonvlle, VT 05464
Phone (912) 515-6641
Organizations & group practices 4
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.
-
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- NPI 1104170901
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1497045561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 RENFERT WAY STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 RENFERT WAY",
"address_2": "SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585614",
"telephone_number": "512-451-8211",
"fax_number": "512-452-4095"
}
],
"practiceLocations": [
{
"address_1": "530 Lytton Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943011541",
"country_code": "US",
"telephone_number": "415-663-5584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "JACQUELINE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2023-12-13",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "117327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.