JENNY KHAN (FNP-C) – Community Health Nurse Practitioner, NPI 1063833754

JENNY KHAN (FNP-C) is a healthcare provider. based in Conroe, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP123456 (TX). The NPI Number for JENNY KHAN (FNP-C) is 1063833754

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNY KHAN (FNP-C)
NPI
1063833754
Phone
(936) 523-5150
Address
1400 S LOOP 336 W
Enumeration Date
23 December 2013
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134776851
Graduation Year
2012 (14 years ago)
PAC ID
2668695784
Group Practice PAC ID
8224941265
Professional Enrollment ID
I20140519000752
Address ID
TX775061430PA927XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNY KHAN (FNP-C)

  • 1400 S LOOP 336 W

    CONROE, TX 773043317

    Phone: (936) 523-5150

    Type: Location

  • PO BOX 680608

    HOUSTON, TX 772680608

    Phone:

    Type: Mailing

  • 10485 NORTHWEST FWY

    HOUSTON, TX 770928202

    Phone: (713) 309-6417

    Type: Location

  • 10485 Northwest Fwy

    Houston, TX 770928202

    Phone: (713) 309-6417

    Type: Location

  • 3701 KIRBY DR STE 600

    HOUSTON, TX 770983926

    Phone:

    Type: Mailing

  • 8539 GULF FWY

    HOUSTON, TX 770175055

    Phone: (713) 218-2697

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($121).

Total Amount

$187

General + Research + Ownership

Payments

2

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

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: 2014-05-19

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
I20140519000752INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 77304)

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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: 8224941265View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
-TX
Psychiatry, Geriatric PsychiatryTX
Physician AssistantTX
-TX
-TX
General Surgery, Critical Care (Intensivists)TX
Internal MedicineTX
-TX
-TX

Reviews

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Frequently asked questions

Can I cross-check JENNY KHAN (FNP-C) using NPI 1063833754?
NPI 1063833754 belongs to JENNY KHAN (FNP-C); compare other details if you need extra assurance.
Is there an active status for JENNY KHAN (FNP-C)?
For scheduling context, JENNY KHAN (FNP-C) is shown as active in the registry.
What area of care is associated with JENNY KHAN (FNP-C)?
JENNY KHAN (FNP-C)'s record emphasizes Community Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNY KHAN (FNP-C)?
Travel planning: use Conroe, Texas as the reference point for JENNY KHAN (FNP-C), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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