Individual provider Active NPI

Jennifer Lynne McGuirk, PA-C

  • Physician Assistant
  • Garland, TX
National Provider Identifier
1992945802
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5345 N George Bush Fwy
Garland, TX 75040-2767
Phone
(469) 800-2100
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5345 N George Bush Fwy
Garland, TX 75040-2767

Mailing address

5345 N George Bush Fwy
Garland, TX 75040-2767
Phone (469) 800-2100

Other identifiers 1

IdentifierTypeStateIssuer
3155673-01MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmcguirk239223@direct.sw.org
Direct Messaging Address jmcguirk239223@direct.sw.org

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
I20090923000059 TX Practitioner - Physician Assistant 6800942442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 4, 2009 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 4, 2009 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

5345 N President George Bush Hwy
Garland, TX 75040
Phone (972) 495-5888

4716 Alliance Blvd
Ste 500
Plano, TX 75093

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1992945802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 N GEORGE BUSH FWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402767",
            "telephone_number": "469-800-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 N GEORGE BUSH FWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402767",
            "telephone_number": "469-800-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRK",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3155673-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcguirk239223@direct.sw.org",
            "affiliation": "N",
            "address_1": "4716 Alliance Blvd Ste 500",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcguirk239223@direct.sw.org",
            "affiliation": "N",
            "address_1": "4716 Alliance Blvd Ste 500",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.