MRS. JENNIFER LIGHT (DNP, APRN, CNM) – Advanced Practice Midwife, NPI 1013387083

MRS. JENNIFER LIGHT (DNP, APRN, CNM) is a healthcare provider. based in Bryan, Texas. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials DNP, APRN, CNM. They hold a License No. AP129212 (TX). The NPI Number for MRS. JENNIFER LIGHT (DNP, APRN, CNM) is 1013387083

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER LIGHT (DNP, APRN, CNM)
NPI
1013387083
Phone
(979) 776-5602
Address
2900 E 29TH ST STE 300
Enumeration Date
2 October 2015
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9797768440
Graduation Year
2015 (11 years ago)
PAC ID
1153621057
Group Practice PAC ID
8224008644
Professional Enrollment ID
I20151125001422
Address ID
TX778022623BR2900XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

200 CERTIFIED NURSE MIDWIFE (CNM) in TX

Provider Addresses for MRS. JENNIFER LIGHT (DNP, APRN, CNM)

  • 2900 E 29TH ST STE 300

    BRYAN, TX 778022623

    Phone: (979) 776-5602

    Fax: (979) 776-5265

    Type: Mailing

  • 2900 E 29TH ST

    #300

    BRYAN, TX 778022622

    Phone: (281) 881-4788

    Type: Location

  • 1604 Rock Prairie Rd

    College Station, TX 778458343

    Phone: (979) 764-5283

    Type: Location

  • 1602 ROCK PRAIRIE RD STE 3400

    COLLEGE STATION, TX 778455992

    Phone: (979) 693-0737

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $564.

Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($85).

Total Amount

$564

General + Research + Ownership

Payments

27

Total payment records

General Amount

$564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151125001422ICertified Nurse Midwife (Cnm)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224008644View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeTX
Family PracticeTX
Physician AssistantTX
Clinical Social WorkerTX
P S Y C H I A T R YTX
Family PracticeTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What is the standard ID for MRS. JENNIFER LIGHT (DNP, APRN, CNM) in the U.S.?
In the U.S., MRS. JENNIFER LIGHT (DNP, APRN, CNM) is identified by NPI 1013387083.
Should I treat MRS. JENNIFER LIGHT (DNP, APRN, CNM) as an active provider?
Patients and plans typically see MRS. JENNIFER LIGHT (DNP, APRN, CNM) as active in the national extract.
What type of care does MRS. JENNIFER LIGHT (DNP, APRN, CNM) provide?
MRS. JENNIFER LIGHT (DNP, APRN, CNM)'s profile centers on Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Is MRS. JENNIFER LIGHT (DNP, APRN, CNM) tied to Bryan, Texas?
If you are local to Bryan, Texas, MRS. JENNIFER LIGHT (DNP, APRN, CNM) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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