Look up the most recent NPI and PECOS records

Jennifer Cannizzaro

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2021 Guadalupe St Ste 260, Austin, TX 78705-5654

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Cannizzaro is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1659752889
Provider Type
Individual
Full Name
Cannizzaro, Jennifer
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/12/2015
Last Updated
7/3/2025

Contact Information

Practice Location

2021 Guadalupe St Ste 260, Austin, TX 78705-5654

(346) 372-7216

Unlisted Fax

Mailing Location

2021 Guadalupe St Ste 260, Austin, TX 78705-5654

(346) 372-7216

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP015076 Pennsylvania
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1139956 Texas

Jennifer Cannizzaro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Guillory, Leslie Sledge

Workman, Mary Rachel

Baban, Hawelan

Roberts, Megan Blair

Russo, Amy Gauck

Valdez, Raquel

Sarro, Jill Diane

Bhakta, Punam

Gravett, Jennifer Catherine

Wound Care Partners Pllc