Individual provider Active NPI

Jessica Anne Brown, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1003329236
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134476 Issued in TX
Practice address
4316 James Casey St
Austin, TX 78745-1116
Phone
(512) 623-5300
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134476 TX Primary

Addresses

Primary practice location

4316 James Casey St
Austin, TX 78745-1116

Mailing address

4174 Travis Country Cir
Austin, TX 78735-6350

Other practice location 1

4174 Travis Country Cir
Austin, TX 78735-6350
Phone (309) 337-8880

Other identifiers 1

IdentifierTypeStateIssuer
AP134476OtherTXTEXAS APRN LICENSE

Other names 1

  • Jessica Anne Pogue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124001161 TX Practitioner - Nurse Practitioner 8224397070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

4316 James Casey St
Austin, TX 78745-1116
Phone (512) 623-5300

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134476TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Jan 15, 2018 Accepting new patients
John a Dieck PA Past Accepting new patients

Locations

4316 James Casey St
Bldg Ac
Austin, TX 78745

4316 James Casey St
Austin, TX 78745
Phone (512) 341-6414

7800 Shoal Creek Blvd
Ste 205N
Austin, TX 78757
Phone (512) 206-4300

4316 James Casey St
Ste A
Austin, TX 78745
Phone (512) 481-1408

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

4101 James Casey St
Ste 330
Austin, TX 78745
Phone (512) 373-4000

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/235ba15f-6bef-42d8-831c-5f3f60c7755f/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003329236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 TRAVIS COUNTRY CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-623-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4174 Travis Country Cir",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787356350",
            "country_code": "US",
            "telephone_number": "309-337-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS APRN LICENSE",
            "identifier": "AP134476",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "POGUE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.