Jennifer S Melendez, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP144227 Issued in TX

Practice address

105 Zeid Blvd BLDG 2
Henderson, TX 75652-6070

Phone

(903) 615-5612

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic Texas 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Good Shepherd Home health agency, Longview, TX, CCN 457691
• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmelendez104116@christushealth.direct-ci.net
• FHIR API: https://api.platform.athenahealth.com/16477/brand/1/csg/1/fhir/r4

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  TX

  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  Care Compare group NPD
• Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • New Braunfels, TX
  • NPI 1639807548
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Emory, TX
  • NPI 1033641105
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Canton, TX
  • NPI 1134313083
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Mineola, TX
  • NPI 1275727125
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Hawkins, TX
  • NPI 1396939146
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Quitman, TX
  • NPI 1497949341
  Care Compare group
• Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1891422192
  Care Compare group
• Compliance & Screening Services CSS

  • Occupational Medicine Clinic/Center
  • El Dorado, AR
  • NPI 1033545561
  NPD
• Trinity Clinic

  • Rural Health Clinic/Center
  • Henderson, TX
  • NPI 1760676613
  NPD (past)
• Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1922058304
  NPD (past)

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

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036

  Hospital

  Care Compare affiliation
• GSHS Home Health, LLC

  • Home Health Agency
  • Longview, TX
  • NPI 1023128220
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1023647286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-606-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ZEID BLVD BLDG 2",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526070",
            "telephone_number": "903-615-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Gilmer Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756044616",
            "country_code": "US",
            "telephone_number": "903-232-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144227",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP144227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Rochelle McCoy, LVN
• McCrae Management and Investments, LTD.
• Barbara A McDonald, OD
• David Lee McDonald, OD
• Melanie L Wood
• John Thames Melvin, M.D.
• Metx, LLC
• Morgan Counseling and Assessment
• Laci Morgan, PSYD
• Mt Enterprise Community Health Clinic

• All providers in Henderson, TX
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.