Jennifer Merle Ezell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

454335 Issued in TX

Practice address

10905 Quaker Ave
Lubbock, TX 79424

Phone

(806) 712-7368

Fax

(806) 791-1462

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

10611 Medical Associates PLLCGroup PAC ID 6103207428, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.ezell@direct.myteamcare.com

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.

• 10611 Medical Associates PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lubbock, TX
  • NPI 1891430989

  Family

  Medicare reassignment Care Compare group NPD
• Associates for Pain Management P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Lubbock, TX
  • NPI 1629198296
  NPD
• Jason C. Helton DC, PA

  • Chiropractor
  • Lubbock, TX
  • NPI 1689684714
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1740464288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-712-7368",
            "fax_number": "806-791-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-712-7368",
            "fax_number": "806-791-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "JENNIFER",
        "middle_name": "MERLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "454335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exceptional Physicians Group Lubbock PLLC
• Express Medical Supply, LTD.
• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyemasters of Texas LTD
• Emeka Arinze Ezeokeke
• Jaden Heber Fackrell, MD
• Fadel Eye Group, LLC
• Tolulope Mary Fadipe, DDS
• Mandy M Fair, LMFT

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.