Individual provider Active NPI

Casey Jamison, WHNP-BC, FNP-C

  • Women's Health Nurse Practitioner
  • Crossroads, TX
National Provider Identifier
1043614233
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP126426 Issued in TX
Practice address
8700 US Highway 380 Ste 300
Crossroads, TX 76227-2661
Phone
(940) 231-5657
NPI assigned
Oct 16, 2014
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP126426 TX Primary

Addresses

Primary practice location

8700 US Highway 380 Ste 300
Crossroads, TX 76227-2661

Mailing address

8700 US Highway 380 Ste 300
Crossroads, TX 76227-2661
Phone (214) 705-7390

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
I20170628000989 TX Practitioner - Nurse Practitioner 2769751163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Healthcare, LLCGroup PAC ID 5092103226, 5 clinicians

Practice addresses (Care Compare)

8700 US Hwy 380
Suite 300
Crossroads, TX 76227-2661
Phone (940) 365-7033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126426TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare, LLC Women's Health CurrentSince Nov 1, 2021 Accepting new patients
Her Kare Physicians Group PLLC Past Accepting new patients
Family Medicine of North Texas, P.a. PastSince Jun 1, 2017 Accepting new patients

Locations

8700 US Highway 380
Ste 300
Cross Roads, TX 76227
Phone (940) 365-7033

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1043614233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 US HIGHWAY 380 STE 300",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272661",
            "telephone_number": "214-705-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 US HIGHWAY 380 STE 300",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272661",
            "telephone_number": "940-231-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "CASEY",
        "credential": "WHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-16",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP126426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossroads, TX

Sources for this page

Verify at the official NPI Registry.