JENI RACHELLE PACK AGACNP-BC NPI 1114506920

NPI Information

  • NPI: 1114506920
  • Provider Name: JENI RACHELLE PACK, AGACNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8160 WALNUT HILL LN STE 113
    DALLAS, TX
    ZIP 75231
  • Phone: (214) 750-3770

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NPI Details

Jeni Rachelle Pack, AGACNP-BC is a gerontology nurse practitioner in Dallas, TX with 5 years of experience. Jeni Rachelle Pack, AGACNP-BC NPI is 1114506920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8160 WALNUT HILL LN STE 113
DALLAS, TX
ZIP 75231-387
Phone: (214) 750-3770
Fax: (214) 750-3770

The NPI 1114506920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 4/7/2021 and was last updated on 9/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care1034104TEXASNo
2363LG0600XNurse PractitionerGerontology1034104TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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