Individual provider Active NPI

Jenna Taylor Trofholz, NP

  • Gerontology Nurse Practitioner
  • Plano, TX
National Provider Identifier
1730936808
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1154091 Issued in TX
Practice address
7208 Scotland CT
Plano, TX 75024-4571
Phone
(479) 366-9087
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1154091 TX Primary

Addresses

Primary practice location

7208 Scotland CT
Plano, TX 75024-4571

Mailing address

7208 Scotland CT
Plano, TX 75024-4571
Phone (479) 366-9087

Other names 1

  • Jenna Taylor Trofholz Other name

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
I20240722004189 TX Practitioner - Nurse Practitioner 5597201939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Healthcare Services LLCGroup PAC ID 8527468982, 14 clinicians

Practice addresses (Care Compare)

512 W Bonds Ranch Rd
Suite 150
Fort Worth, TX 76131-3915
Phone (817) 488-6369

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1154091TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Services LLC CurrentSince Jun 1, 2024 Accepting new patients
S&S Wound Care Specialists, PLLC PastSince Jun 8, 2025 Accepting new patients

Locations

512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369

3348 Peden Rd
Ste 401
Fort Worth, TX 76179
Phone (817) 488-6369

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

Organizations & group practices 2

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1730936808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 SCOTLAND CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244571",
            "telephone_number": "479-366-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 SCOTLAND CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244571",
            "telephone_number": "479-366-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROFHOLZ",
        "first_name": "JENNA",
        "middle_name": "TAYLOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1154091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "TROFHOLZ",
            "middle_name": "TAYLOR",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.