Jennifer Lee Moldenhauer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05046 Issued in TX

Practice address

1948 E Hebron Pkwy Ste 110
Carrollton, TX 75007-1515

Phone

(972) 939-4646

Fax

(972) 939-6161

NPI assigned

Mar 29, 2007

Last updated

Apr 10, 2023By the provider in NPPES

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

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

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amity Health Care Services Home health agency, Dallas, TX, CCN 747539
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.moldenhauer@wellmed.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Medical Clinic of North Texas, PLLC

  dba USMD Physician Services

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033167234
  Medicare reassignment Care Compare group
• Medhealth

  dba Methodist Medical Group

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912957200
  Medicare reassignment NPD
• Patrick W Daly, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1063480853
  Medicare reassignment
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Jaime J. Vasquez, D.O., P.a.

  dba Vasquez Clinic

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1518002237
  NPD (past)

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

• Bir JV LLP

  dba Baylor Institute for Rehabilitation

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Herald Home Health Care, LLC

  dba Amity Healthcare Services

  • Home Health Agency
  • Dallas, TX
  • NPI 1649508359
  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1992824791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 E HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071515",
            "telephone_number": "972-939-4646",
            "fax_number": "972-939-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 E HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071515",
            "telephone_number": "972-939-4646",
            "fax_number": "972-939-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDENHAUER",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohan Penmetcha, M.D., P.a.
• Ahmed Mohd, MD
• Jessica Mohrweis, MS, LPC
• Moji Chandy DDS PLLC
• Sushma Moka
• Ramsha Momin, LCSW
• Josue David Monclova, PHARM D.
• Karena Mondrianh-Ybarra, PHD
• Monika J Salon LLC (MoNika J Salon and Hair Replacement Center)
• Natalie Flores Monroe, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.