Individual provider Active NPI

Jennifer Nichole Weber, D.O.

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1043656952
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q5734 Issued in TX
Practice address
3070 College St
Suite 120
Beaumont, TX 77701-4691
Phone
(409) 835-2300
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q5734 TX Primary

Addresses

Primary practice location

3070 College St
Suite 120
Beaumont, TX 77701-4691

Mailing address

3070 College St
Suite 120
Beaumont, TX 77701-4691
Phone (409) 835-2300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010002179 TX Practitioner - Family Practice 7214225168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

3070 College St
Suite 120
Beaumont, TX 77701-4688
Phone (409) 835-2300

Hospital & facility affiliations

  • Pulse Homecare LTD Home health agency, Beaumont, TX, CCN 457884
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q5734TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Aug 18, 2016 Accepting new patients
Susan K Craig M D P a Family Medicine PastSince Aug 18, 2016 Accepting new patients

Locations

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

6450 Folsom Dr
Beaumont, TX 77706
Phone (409) 835-0524

3070 College St
Ste 205
Beaumont, TX 77701
Phone (409) 832-1225

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

610 Strickland Dr
Ste 140
Orange, TX 77630
Phone (409) 835-1230

1091 N Main St
Apt B
Vidor, TX 77662
Phone (409) 769-0237

Interoperability endpoints

  • Direct secure messaging: jennifer.weber@bpn.eclinicaldirectplus.com
  • Direct secure messaging: jweber@yourcarecommunity.org

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1043656952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 120",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014691",
            "telephone_number": "409-835-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 120",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014691",
            "telephone_number": "409-835-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.