JENNIFER RUBIO GREDICEK (NP) – Nurse Practitioner, NPI 1073946984

JENNIFER RUBIO GREDICEK (NP) is a healthcare provider. based in Lockhart, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 642100 (TX). The NPI Number for JENNIFER RUBIO GREDICEK (NP) is 1073946984

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER RUBIO GREDICEK (NP)
NPI
1073946984
Phone
(512) 376-2999
Address
209 S CHURCH ST
Enumeration Date
14 August 2013
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8554818375
Graduation Year
2013 (13 years ago)
PAC ID
8224261755
Group Practice PAC ID
8921482597
Professional Enrollment ID
I20140507000846
Address ID
TX787281702AU505XXBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNIFER RUBIO GREDICEK (NP)

  • 209 S CHURCH ST

    SUITE B

    LOCKHART, TX 786442713

    Phone: (512) 376-2999

    Fax: (512) 376-5562

    Type: Location

  • 500 N CAPITAL OF TEXAS HWY # 6

    AUSTIN, TX 787463302

    Phone: (855) 481-8375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-05-07

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
I20140507000846INurse 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 minutes8676$0
99214Established patient office or other outpatient visit, 30-39 minutes4442$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2120$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1716$0
81002Urinalysis, manual test1413$0
View full utilization report →

Insurance plans in this area (ZIP 78644)

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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: 8921482597View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineME
Nurse PractitionerTX
Internal Medicine, Preventive Medicine, General PracticeTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER RUBIO GREDICEK (NP)?
NPI 1073946984 is assigned to JENNIFER RUBIO GREDICEK (NP) under the national enumeration system.
Does this profile mean JENNIFER RUBIO GREDICEK (NP) is currently active?
Yes — JENNIFER RUBIO GREDICEK (NP) appears active in the national provider directory.
What kind of provider is JENNIFER RUBIO GREDICEK (NP)?
The page reflects Nurse Practitioner for JENNIFER RUBIO GREDICEK (NP). Clinical services aligned with this taxonomy classification.
Where is JENNIFER RUBIO GREDICEK (NP)'s primary listing?
We display Lockhart, Texas because that is what the record indicates for JENNIFER RUBIO GREDICEK (NP).
Is JENNIFER RUBIO GREDICEK (NP) a real provider?
This page reflects official NPPES data for NPI 1073946984. Always confirm identity and privileges with the practice and licensing boards.

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