Individual provider Active NPI

James Rosson, FNP-C

  • Family Nurse Practitioner
  • Canyon, TX
National Provider Identifier
1043820830
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1000936 Issued in TX
Practice address
1619 4TH Ave
Canyon, TX 79015-3824
Phone
(806) 557-4674
NPI assigned
Aug 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 1000936 TX Primary

Addresses

Primary practice location

1619 4TH Ave
Canyon, TX 79015-3824

Mailing address

1619 4TH Ave
Canyon, TX 79015-3824
Phone (806) 557-4674

Other practice location 1

4310 S Western St
Amarillo, TX 79109-6036
Phone (806) 418-2191

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
I20210824000851 TX Practitioner - Nurse Practitioner 6608271002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Lubbock Primary Care, PLLCGroup PAC ID 1951687946, 15 clinicians

Practice addresses (Care Compare)

5015 University Ave
Unit B1
Lubbock, TX 79413-4427
Phone (806) 701-4040

Hospital & facility affiliations

  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1000936TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Health, LLC CurrentSince Jul 26, 2021 Accepting new patients
Lubbock Primary Care, PLLC CurrentSince May 1, 2024 Accepting new patients
Umc Physicians Family Past Accepting new patients
Physician Management Services of Texas II, LLC Past Accepting new patients

Locations

1600 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-5874

5015 University Ave
Unit B1
Lubbock, TX 79413
Phone (806) 701-4040

5015 University Ave
Lubbock, TX 79413
Phone (806) 797-4351

11007 Quaker Ave
Lubbock, TX 79424
Phone (806) 548-6010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJIAD

Organizations & group practices 4

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 2

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1043820830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153824",
            "telephone_number": "806-557-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153824",
            "telephone_number": "806-557-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 S Western St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791096036",
            "country_code": "US",
            "telephone_number": "806-418-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSON",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

Verify at the official NPI Registry.