Individual provider Active NPI

Jennifer E Zuccarelli, M.D.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1760736904
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S0249 Issued in TX
Practice address
7008 Salem Ave # 117
Lubbock, TX 79424-2226
Phone
(800) 924-7811
Fax
(877) 349-1868
NPI assigned
Nov 8, 2012
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35C.000375 OH
Family Medicine Physician 207Q00000X ME142458 FL
Family Medicine Physician 207Q00000X 2023028371 MO
Family Medicine Physician 207Q00000X EMC0002887 MI
Family Medicine Physician 207Q00000X MD472163 PA
Family Medicine Physician 207Q00000X 68815 GA
Family Medicine Physician 207Q00000X C1322 KY
Family Medicine Physician 207Q00000X 036.163434 IL
Family Medicine Physician 207Q00000X 90714 SC
Family Medicine Physician 207Q00000X S0249 TX Primary
Family Medicine Physician 207Q00000X 25130 NV
Family Medicine Physician 207Q00000X 67633 TN

Addresses

Primary practice location

7008 Salem Ave # 117
Lubbock, TX 79424-2226

Mailing address

440 N Barranca Ave Ste 1801
Covina, CA 91723-1722
Phone (800) 924-7811

Other practice location 1

330 Innovation Blvd Ste 223
State College, PA 16803-6611
Phone (800) 924-7811

Other practice location 2

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (800) 924-7811

Other practice location 3

4000 Faber Place Dr Ste 300
North Charleston, SC 29405-8587
Phone (800) 924-7811

Other practice location 4

4625 Lindell Blvd # 2685
Saint Louis, MO 63108-3725
Phone (800) 924-7811

Other practice location 5

123 S Broad St Ofc 1560
Philadelphia, PA 19109-1029
Phone (800) 924-7811

Other practice location 6

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (800) 924-7811

Other practice location 7

4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Phone (800) 924-7811

Other practice location 8

6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Phone (800) 924-7811

Other practice location 9

1760 Abbey Rd Ste 200
East Lansing, MI 48823-7302
Phone (800) 924-7811

Other practice location 10

301 Grant St Ste 270
Pittsburgh, PA 15219-1408
Phone (800) 924-7811

Other practice location 11

303 S Water St Ste 200
Henderson, NV 89015-7308
Phone (800) 924-7811

Other identifiers 3

IdentifierTypeStateIssuer
1760736904MedicaidMI
Q085225MedicaidTN
0020372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, PA, TX, AL, MI, TN, OH, KY, IL, MO, NV, SC, CO14 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
I20221109002065 FL Practitioner - Family Practice 6507233277
I20221110003209 GA Practitioner - Family Practice 6507233277
I20221117002236 PA Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20221117002469 TX Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20230306001457 AL Practitioner - Family Practice 6507233277
I20230626001521 MI Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20230703000985 TN Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20230706000325 OH Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20230707001329 KY Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20230811001556 IL Practitioner - Family Practice 6507233277
I20240220001303 MO Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20240614000964 NV Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20240703003505 SC Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization
I20260304001272 CO Practitioner - Family Practice 6507233277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swing Care Provider Group PCGroup PAC ID 0244601904, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

123 S Broad St
Ofc 1560
Philadelphia, PA 19109-1029
Phone (800) 924-7811

1760 Abbey Rd
Suite 200
East Lansing, MI 48823-7395
Phone (800) 924-7811

21 E State St
Suite 200 Office 241
Columbus, OH 43215-0109
Phone (800) 924-7811

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (800) 924-7811

3720 Sinton Rd
Suite 200
Colorado Springs, CO 80907-5094
Phone (800) 924-7811

4000 Faber Place Dr
Suite 300
North Charleston, SC 29405-8587
Phone (800) 924-7811

4625 Lindell Blvd
FL 2685
Saint Louis, MO 63108-3725
Phone (800) 924-7811

5955 Edmond St
Las Vegas, NV 89118-2856
Phone (800) 924-7811

6000 Poplar Ave
Memphis, TN 38119-3981
Phone (800) 924-7811

7008 Salem Ave
Suite 117
Lubbock, TX 79424-2226
Phone (800) 924-7811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023028371MOMDFamily Medicine Physician
90714SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners Wisconsin, SC CurrentSince Oct 22, 2022 Accepting new patients
Swing Care Provider Group, PC CurrentSince May 5, 2024 Accepting new patients
Swing Care Provider Group, P.C. CurrentSince May 8, 2024 Accepting new patients
Swing Care Provider Group, P.C. CurrentSince Jul 19, 2023 Accepting new patients
Swing Care Provider Group PC CurrentSince May 10, 2024 Accepting new patients
Swing Care Provider Group, PC Current Accepting new patients
Imaging Resource Centers LTD PastSince Jun 1, 2023 Accepting new patients
Swing Care Provider Group, P.C. Past Accepting new patients
Swing Care Provider Group, PC Family Medicine Past Accepting new patients
Swing Care Provider Group, P.C. PastSince Oct 1, 2023 Accepting new patients
Swing Care Provider Group, P.C. Past Accepting new patients
Swing Care Provider Group, PC Past Accepting new patients
Swing Care Provider Group, PC Past Accepting new patients

Locations

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

4320 Winfield Rd
Ste 200
Warrenville, IL 60555
Phone (630) 410-9587

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1760 Abbey Rd
Ste 200
East Lansing, MI 48823
Phone (231) 846-3008

4625 Lindell Blvd
Ste 2685
Saint Louis, MO 63108

303 S Water St
Ste 200
Henderson, NV 89015
Phone (702) 625-1879

5955 Edmond St
Las Vegas, NV 89118
Phone (702) 276-7655

21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065

123 S Broad St
Ofc 1560
Philadelphia, PA 19109
Phone (877) 924-7811

123 S Broad St
Ste 1560
Philadelphia, PA 19109

301 Grant St
Ste 270
Pittsburgh, PA 15219
Phone (412) 296-1812

330 Innovation Blvd
Ste 223
State College, PA 16803

4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

7008 Salem Ave
Ste 117
Lubbock, TX 79424

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1760736904",
    "addresses": [
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            "address_purpose": "MAILING",
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            "city": "COVINA",
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        }
    ],
    "practiceLocations": [
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        {
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            "country_name": "United States",
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        {
            "address_1": "123 S Broad St Ofc 1560",
            "address_purpose": "LOCATION",
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            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Winfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605554023",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Abbey Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237302",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Grant St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191408",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S Water St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157308",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCCARELLI",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35C.000375",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142458",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023028371",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "EMC0002887",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD472163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68815",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "C1322",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.163434",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "90714",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0249",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "25130",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "67633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760736904",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q085225",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.