Jennifer Nicole Kenly, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1074755 Issued in TX

Practice address

1625 Medical Center Dr
El Paso, TX 79902-5005

Phone

(915) 491-5470

NPI assigned

Apr 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Sunset Heights Physician Services PAGroup PAC ID 9830683705, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sierra Medical Center Hospital, El Paso, TX, CCN 450668
• The Hospitals of Providence Horizon City Campus Hospital, Horizon City, TX, CCN 670124

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Sunset Heights Physician Services PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1215818737

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953

  Nurse Practitioner

  Medicare reassignment NPD

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

• HCN Ep Horizon City, LLC

  • General Acute Care Hospital
  • Horizon City, TX
  • NPI 1003344334
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1275473340
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1841843455
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1861994808
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1215969787
  Care Compare affiliation
• Tenet Hospitals Limited

  • Rehabilitation Hospital Unit
  • El Paso, TX
  • NPI 1780927277
  Care Compare affiliation

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1972246783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025005",
            "telephone_number": "915-546-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025005",
            "telephone_number": "915-491-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENLY",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1074755",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1074755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Orrin Kelly, OTR
• Blanche Kelly
• Kaitlin F Kemp
• Sarah E. Kemp, MD
• Sylvie Kengne
• Garry James Kennebrew Jr., M.D.
• Alison Lynne Kennedy
• Gabriel Kennedy, PA-C
• Rachel Anne Kennedy, PHARMD
• Rebeca Alejandra Kennedy, NNP-BC

• Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.