Individual provider Active NPI

Jacqualene N Quigley, NP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1730948530
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1144669 Issued in TX
Practice address
5609 114TH St
Lubbock, TX 79424-6985
Phone
(806) 589-1778
Fax
(806) 589-1779
NPI assigned
Mar 15, 2024
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 1144669 TX Primary

Addresses

Primary practice location

5609 114TH St
Lubbock, TX 79424-6985

Mailing address

5609 114TH St
Lubbock, TX 79424-6985
Phone (806) 589-1778

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
I20240422002690 TX Practitioner - Nurse Practitioner 3577902618 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
Theerapol Prasertsuntarasai MD PAGroup PAC ID 2961819560, 4 clinicians

Practice addresses (Care Compare)

5609 114TH St
Lubbock, TX 79424-6985
Phone (806) 589-1778

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theerapol Prasertsuntarasai MD PA CurrentSince Jul 1, 2025 Accepting new patients
Rocky Mountain MFT PastSince Jul 1, 2025 Accepting new patients

Locations

12402 Slide Rd
Ste 306
Lubbock, TX 79424
Phone (806) 589-1778

5609 114th St
Lubbock, TX 79424
Phone (806) 589-1778

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1730948530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246985",
            "telephone_number": "806-589-1778",
            "fax_number": "806-589-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246985",
            "telephone_number": "806-589-1778",
            "fax_number": "806-589-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "JACQUALENE",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1144669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.