Individual provider Active NPI

Jennifer Lynn Roesner, APRN, FNP-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1972333078
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1167240 Issued in TX
Practice address
13800 N FM 620 Rd
Austin, TX 78717-1126
Phone
(737) 236-6400
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1167240 TX Primary

Addresses

Primary practice location

13800 N FM 620 Rd
Austin, TX 78717-1126

Mailing address

208 Bella Colinas Dr
Austin, TX 78738-7631
Phone (512) 840-1158

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
I20240921000602 TX Practitioner - Nurse Practitioner 0345781043 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aco Jason Martin Medical Consulting CurrentSince Sep 25, 2025 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Dec 15, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Aug 22, 2024 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

2013 Kelly Ln
Pflugerville, TX 78660
Phone (512) 990-0814

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1972333078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BELLA COLINAS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387631",
            "telephone_number": "512-840-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 N FM 620 RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787171126",
            "telephone_number": "737-236-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESNER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.