Individual provider Active NPI

Jennifer Caling Abalos, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1841452984
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117126 Issued in TX
Practice address
2300 E Park Blvd
Plano, TX 75074-5130
Phone
(972) 525-9900
Fax
(469) 333-7988
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 689580 TX
Family Nurse Practitioner 363LF0000X AP117126 TX Primary

Addresses

Primary practice location

2300 E Park Blvd
Plano, TX 75074-5130

Mailing address

PO Box 360541
Pittsburgh, PA 15251-6541
Phone (972) 525-9900

Other practice location 1

7145 N George Bush FRWY
Garland, TX 75044-2988
Phone (972) 424-0917

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.abalos.1@13711.direct.athenahealth.com

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
I20210901000536 TX Practitioner - Nurse Practitioner 6800292715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

1600 Preston Rd
Plano, TX 75093-5108
Phone (214) 257-8826

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
689580TXMDRegistered Nurse
AP117126TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers North Texas, PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

9450 SW Gemini Dr
Beaverton, OR 97008
Phone (310) 974-8767

5001 Ross Ave
#120
Dallas, TX 75206
Phone (214) 269-5002

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

1600 Preston Rd
Plano, TX 75093
Phone (214) 257-8826

2300 E Park Blvd
Plano, TX 75074
Phone (972) 422-5123

Interoperability endpoints

  • Direct secure messaging: jennifer.abalos.1@13711.direct.athenahealth.com
  • Direct secure messaging: jennifer.abalos.1@19725.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1841452984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360541",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516541",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745130",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7145 N George Bush FRWY",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750442988",
            "country_code": "US",
            "telephone_number": "972-424-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABALOS",
        "first_name": "JENNIFER",
        "middle_name": "CALING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "689580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.abalos.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "2300 E Park Blvd",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750745130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.