Individual provider Active NPI

Jacqueline L Lockwood

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1497045561
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117327 Issued in TX
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

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227001270 TX Practitioner - Nurse Practitioner 1658610118 Reassigns benefits to 2 organizations

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
Aa OBGYN PLLCGroup PAC ID 6103079462, 38 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
117327TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aa OBGYN PLLC CurrentSince Dec 1, 2018 Accepting new patients
Welltrackone Corporation CurrentSince May 1, 2025 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Apr 2, 2025 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.

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

Verify at the official NPI Registry.