JENNIFER DIANE FITZGERALD (NP-C) – Family Nurse Practitioner, NPI 1730596362

JENNIFER DIANE FITZGERALD (NP-C) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 622984 (TX). The NPI Number for JENNIFER DIANE FITZGERALD (NP-C) is 1730596362

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER DIANE FITZGERALD (NP-C)
NPI
1730596362
Phone
(281) 537-7784
Address
17215 RED OAK DR STE 110
Enumeration Date
15 July 2014
Last Update Date
2 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
3375876055
Group Practice PAC ID
4688999022
Professional Enrollment ID
I20190612000872
Address ID
TX773843032SH134XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNIFER DIANE FITZGERALD (NP-C)

  • 17215 RED OAK DR STE 110

    HOUSTON, TX 770902611

    Phone: (281) 537-7784

    Fax: (281) 537-2786

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 308 Open Payments records for all available years, with a total value of $4,794.

Total Amount is formed as General ($4,794) + Research ($0) + Ownership ($0) = $4,794.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,077).

Total Amount

$4,794

General + Research + Ownership

Payments

308

Total payment records

General Amount

$4,794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-06-12

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
I20190612000872INurse 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 minutes336263$0
99214Established patient office or other outpatient visit, 30-39 minutes324232$0
80053Blood test, comprehensive group of blood chemicals222200$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit174174$0
80061Blood test, lipids (cholesterol and triglycerides)173167$0
View full utilization report →

Insurance plans in this area (ZIP 77090)

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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: 4688999022View full group profile
NameSpecialtyState
-TX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
-TX
Physician AssistantTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Family Practice, Geriatric MedicineTX
-TX

Reviews

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Frequently asked questions

Does JENNIFER DIANE FITZGERALD (NP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER DIANE FITZGERALD (NP-C) uses 1730596362.
Does CMS list JENNIFER DIANE FITZGERALD (NP-C) as active?
Yes — JENNIFER DIANE FITZGERALD (NP-C) is active in the NPI listing used on this page.
What is JENNIFER DIANE FITZGERALD (NP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for JENNIFER DIANE FITZGERALD (NP-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER DIANE FITZGERALD (NP-C)?
JENNIFER DIANE FITZGERALD (NP-C)'s geographic hint is Houston, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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