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Deactivated NPI 1811170152 Deactivated / Inactive NPI Female Practitioner

Jennifer B Mcdaniel , PA-C

Physician Assistant • Odessa, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Mcdaniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2007
NPI Deactivation Date August 11, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Jennifer Mcdaniel, PA-C was a registered Physician Assistant practicing in Odessa, TX. Throughout an active medical career spanning 15 years, Jennifer Mcdaniel provided care at the practice location at 701 W 5TH ST until profile deactivation on 2022-08-11.

Practice Location & Contact Primary Location

Practice Address

701 W 5th St

Odessa, TX 797634206

Telephone 4323351500
Fax 4323351537
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
53 Specialists

Practicing in Odessa, TX (11140 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05434

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Carlos Nieto , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1013047919

Doctor of Medicine (M.D.)

NPI 1194854836

Doctor of Medicine (M.D.), Master of Public Health

NPI 1437140787

Doctor of Medicine (M.D.)

Dr. Anthony Talbert , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1497886535

Doctor of Medicine (M.D.)

Shanna Kidd , PA-C

Physician Assistant

NPI 1851616916

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 11, 2022

Record deactivated on August 11, 2022

NPI Profile Active January 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2011

Registered at 701 W 5TH ST, ODESSA, TX 797634206 (Tel: 4323351500)

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Updated Business Mailing Address January 03, 2011

Registered at 701 W 5TH ST, SUITE 1C34, ODESSA, TX 797634206 (Tel: 4323355126)

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Provider Name / Credentials Updated January 03, 2011

Recorded as JENNIFER MCDANIEL, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2011

Physician Assistant (License #PA05434 in TX)

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Initial NPI Registration & Enumeration December 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811170152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2007
Last Update: January 03, 2011
Deactivation Date: August 11, 2022

Mailing Address

701 W 5th St, Suite 1c34

Odessa, TX 797634206

Phone: 4323355126

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.