Individual provider Active NPI

Jennifer R Hinkle, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1841206893
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4672 Issued in TX
Practice address
801 W Cannon St
Fort Worth, TX 76104-3147
Phone
(817) 250-7195
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L4672 TX Primary

Addresses

Primary practice location

801 W Cannon St
Fort Worth, TX 76104-3147

Mailing address

801 W Cannon St
Fort Worth, TX 76104-3147
Phone (817) 250-7195

Other identifiers 5

IdentifierTypeStateIssuer
P00431969OtherTXRAILROAD MEDICARE
159796503MedicaidTX
8BZ862OtherTXBCBS
159796504MedicaidTX
8U1331OtherTXBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001928 TX Practitioner - Internal Medicine 4981689296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3455 Locke Ave
Suite 315
Fort Worth, TX 76107-5747
Phone (817) 336-1189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (TX) PA Internal Medicine Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Centerwell Senior Primary Care (TX) PA Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Centerwell Senior Primary Care (TX) PA Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2017 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3209 W Camp Wisdom Rd
Dallas, TX 75237
Phone (469) 457-2694

2562 W Pioneer Pkwy
Dwg, TX 76013
Phone (682) 282-6291

4200 South Fwy
Ste 1990
Fort Worth, TX 76115
Phone (682) 990-6491

3455 Locke Ave
Ste 315
Fort Worth, TX 76107
Phone (817) 336-1189

801 W Cannon St
Ft Worth, TX 76104
Phone (817) 250-7195

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

Organizations & group practices 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1841206893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043147",
            "telephone_number": "817-250-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043147",
            "telephone_number": "817-250-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00431969",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159796503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BZ862",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159796504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U1331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.