Jacquelynn Dorman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140013 Issued in TX

Practice address

1330 E 8TH St Ste 414
Odessa, TX 79761-4733

Phone

(432) 614-2176

Fax

(432) 614-0876

NPI assigned

May 15, 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

Other identifiers 1

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Essential Family Practice of West Texas PLLCGroup PAC ID 9638522055, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelynndorman@essentialfamilypractice.kareodirect.com

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.

• Essential Family Practice of West Texas PLLC

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1871270124
  Medicare reassignment Care Compare group NPD Authorized official
• Francisco J. Salcido, M.D. P.a.

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1659679926
  Medicare reassignment NPD

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

• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1962068981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 MOSSWOOD DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075075",
            "telephone_number": "432-978-3022",
            "fax_number": "432-614-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST STE 414",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614733",
            "telephone_number": "432-614-2176",
            "fax_number": "432-614-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "JACQUELYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "AP140013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3999732",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Roland Dominguez, PA-C
• Donald D Davenport Jr D O P a
• Dorado RX Pharmacy,LLC
• John H Doran, M.D.
• Daniel Paul Dorethy, LPC,LCDC,,MAC,M.ED.
• John Kyle Dorman, MD
• Douglas Park I, LTD
• Jennifer Douglas, MS, CCC-SLP
• Joseph Kevin Dowden, M.D.
• Olga Ovdyeyenko Dowell, M.D.

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.