Elizabeth Jendrzey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA13082 Issued in TX

Practice address

1200 Carl Ramert Dr Ste D
Yoakum, TX 77995-4868

Phone

(361) 293-7061

NPI assigned

Oct 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yoakum Community Hospital 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
• Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8249/brand/1/csg/1/fhir/r4

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.

• Yoakum Community Hospital

  • General Practice Physician
  • Yoakum, TX
  • NPI 1619399128

  TX

  Medicare reassignment Care Compare group NPD
• Yoakum Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Yoakum, TX
  • NPI 1295839496
  Care Compare group
• Yoakum Community Hospital

  • Critical Access Hospital
  • Yoakum, TX
  • NPI 1881697878
  Care Compare group
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced HH, LLC

  • Home Health Agency
  • Seguin, TX
  • NPI 1598701716
  Care Compare affiliation
• Yoakum Community Hospital

  • Critical Access Hospital
  • Yoakum, TX
  • NPI 1881697878

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1811539612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 K BOX LN",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779955133",
            "telephone_number": "512-963-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CARL RAMERT DR STE D",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779954868",
            "telephone_number": "361-293-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDRZEY",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "TEMPORARY",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA13082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejendrzey@yoakumhospital.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "1200 Carl Ramert Dr Ste D",
            "city": "Yoakum",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779954868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.jendrzey.1@8249.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging - HIE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Carl Ramert Dr Ste D",
            "city": "Yoakum",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779954868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Kay Foster, PA-C
• Brynna Rae Hardt
• Kadee Bludau Hoffman, M.A., CCC-SLP
• James E. Drost, M.D., LLC
• Leah Janecek, R.D, L.D.
• John C Braden DDS PC
• Sara Nicole Keeble, COTA
• Laura Klozik
• Sara Darlene Konvicka, LCSW-S
• Robert Martin Lambert, MD

• All providers in Yoakum, TX
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.