Jenica Rose-Stine, DO
NPI 1174735872 · Pediatrics Physician · Willow Park, TX
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenica Rose-Stine, DO is a Pediatrics Physician provider in Willow Park, TX (NPI 1174735872).
Provider details
- NPI number
- 1174735872
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- M8294 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Frequently asked questions
- What is Jenica Rose-Stine's NPI number?
- Jenica Rose-Stine's National Provider Identifier (NPI) is 1174735872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenica Rose-Stine's specialty?
- Jenica Rose-Stine is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jenica Rose-Stine located?
- Jenica Rose-Stine's practice location on file with NPPES is 136 El Chico Trl Ste 102, Willow Park, TX 76087-8864.
- What is Jenica Rose-Stine's phone number?
- The practice phone number listed in the NPPES registry for Jenica Rose-Stine is (817) 441-5412.
- Does Jenica Rose-Stine accept Medicare?
- Jenica Rose-Stine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jenica Rose-Stine's NPI active?
- Yes — Jenica Rose-Stine's NPI (1174735872) is active in the NPPES registry as of the last update on 2021-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.