Individual provider Active NPI

Trenay Jackson, APRN

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1679379028
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191546 Issued in TX
Practice address
8712 Medical City Way
Fort Worth, TX 76177-2414
Phone
(817) 900-3000
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 1191546 TX Primary

Addresses

Primary practice location

8712 Medical City Way
Fort Worth, TX 76177-2414

Mailing address

11408 Squall Hill Dr
Haslet, TX 76052-1386
Phone (682) 559-0693

Other practice location 1

5600 Tennyson Pkwy
Plano, TX 75024-3818
Phone (888) 874-0852

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
I20250414002261 TX Practitioner - Nurse Practitioner 6800310665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Bridges PLLCGroup PAC ID 3476779711, 6 clinicians

Practice addresses (Care Compare)

3001 Saint Lynda Dr
Mansfield, TX 76063-4857
Phone 81768791386

Hospital & facility affiliations

  • Home Care Providers of Texas Home health agency, Dallas, TX, CCN 453157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Bridges PLLC CurrentSince Jul 22, 2025 Accepting new patients
Gainesville Community Hospital, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Gainesville Community Hospital, Inc. Family CurrentSince Apr 1, 2025 Accepting new patients

Locations

1627 N Grand Ave
Spc Of
Gainesville, TX 76240
Phone (940) 668-6878

1902 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8750

Interoperability endpoints

  • Direct secure messaging: trenay.jackson.1@26154.direct.athenahealth.com

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.

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1679379028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 SQUALL HILL DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760521386",
            "telephone_number": "682-559-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 MEDICAL CITY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772414",
            "telephone_number": "817-900-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Tennyson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243818",
            "country_code": "US",
            "telephone_number": "888-874-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TRENAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.