Jennifer A Lunceford, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02328 Issued in TX

Practice address

1730 B F Terry Blvd Ste 302
Rosenberg, TX 77471-5535

Phone

(866) 989-2873

Fax

(713) 568-3313

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Jennifer McGlaun Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Texas Spine and Joint Hospital, LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1942292255
  Medicare reassignment
• Athens Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Palestine, TX
  • NPI 1073539144
  NPD (past)
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)
• Mark L Eldore MD PLLC

  • Obstetrics & Gynecology Physician
  • Athens, TX
  • NPI 1831107028
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1891724282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PENNY LN",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513244",
            "telephone_number": "903-386-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 B F TERRY BLVD STE 302",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715535",
            "telephone_number": "866-989-2873",
            "fax_number": "713-568-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNCEFORD",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8192NP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01492565",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7057548",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-1976930-005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187881104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8821NF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCGLAUN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sergio J. Lopez, NP-C, MSN,RNFA-CNOR
• Karen Lee Loudenback, BS
• Deborah Ann Louviere
• Chelsey Love, LPC-ASSOCIATE, NCC
• Mayra Esmeralda Lozano, RBT
• Diana Ly, OD
• Dedra Maas
• Eilean L.M. Mackenzie, MA, LPC
• Made Ya Smile Rosenberg PLLC
• Henry Madufur

• Physician Assistant in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.