Individual provider Active NPI

Jaci Rich, MSN, RN, CFNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1558801191
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133481 Issued in TX
Practice address
4517 Santa Rosa Dr
Midland, TX 79707-2260
Phone
(432) 233-1965
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 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 AP133481 TX Primary

Addresses

Primary practice location

4517 Santa Rosa Dr
Midland, TX 79707-2260

Mailing address

4517 Santa Rosa Dr
Midland, TX 79707-2260
Phone (432) 233-1965

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
I20210729003746 TX Practitioner - Nurse Practitioner 2163825969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP133481TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Regenerative Wound Center PLLC CurrentSince Nov 1, 2025 Accepting new patients
Rich Management Group, PLLC CurrentSince Mar 11, 2025 Accepting new patients
MCH Professional Care PastSince Jul 15, 2021 Accepting new patients

Locations

3304 W Wadley Ave
Unit 7645
Midland, TX 79707
Phone (432) 233-1965

4517 Santa Rosa Dr
Midland, TX 79707
Phone (432) 233-1965

Organizations & group practices 3

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1558801191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SANTA ROSA DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072260",
            "telephone_number": "432-233-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SANTA ROSA DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072260",
            "telephone_number": "432-233-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JACI",
        "credential": "MSN, RN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.