Individual provider Active NPI

Jennifer Pauli, NP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1740789924
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136329 Issued in TX
Practice address
3001 Saint Lynda Dr
Mansfield, TX 76063-4857
Phone
(817) 687-9138
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X AP136329 TX
Family Nurse Practitioner 363LF0000X AP136329 TX Primary

Addresses

Primary practice location

3001 Saint Lynda Dr
Mansfield, TX 76063-4857

Mailing address

7610 N Stemmons Fwy Ste 360
Dallas, TX 75247-4231
Phone (972) 203-3600

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
I20180228001455 TX Practitioner - Nurse Practitioner 9335400779 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136329TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Elite Health Partners, LLC CurrentSince Aug 23, 2023 Accepting new patients
Ng100M, P.C. CurrentSince May 19, 2025 Accepting new patients

Locations

3100 N Tarrant Pkwy
Ste 104
Fort Worth, TX 76177
Phone (469) 218-4410

2730 Virginia Pkwy
#200A
McKinney, TX 75071
Phone (800) 975-3859

8713 Airport Fwy
Ste 310
North Richland Hills, TX 76180
Phone (214) 729-9033

Interoperability endpoints

  • Direct secure messaging: jennifer.pauli.2@33079.direct.athenahealth.com
  • Direct secure messaging: jennifer.pauli.3@33079.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.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1740789924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 N STEMMONS FWY STE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474231",
            "telephone_number": "972-203-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT LYNDA DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634857",
            "telephone_number": "817-687-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULI",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "AP136329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.