Individual provider Active NPI

Jill Christine Pate, FNP

  • Family Nurse Practitioner
  • Jasper, TX
National Provider Identifier
1053657114
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
651764 Issued in TX
Practice address
1276 S Peachtree St
Jasper, TX 75951-4916
Phone
(409) 384-5701
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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 651764 TX Primary

Addresses

Primary practice location

1276 S Peachtree St
Jasper, TX 75951-4916

Mailing address

1276 S Peachtree St
Jasper, TX 75951-4916
Phone (409) 384-5701

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
I20180108003003 TX Practitioner - Nurse Practitioner 0446528889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E T Nephrology Associates PAGroup PAC ID 7416904180, 5 clinicians

Practice addresses (Care Compare)

409 Gaslight Blvd
Lufkin, TX 75904-3158
Phone (936) 634-2227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Quality
97.53
Promoting interoperability
96
Improvement activities
40
Cost
74.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
651764TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E T Nephrology Associates PA CurrentSince Jan 2, 2018 Accepting new patients
Premier Nephrology of Tyler Past Accepting new patients

Locations

409 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-4422

700 S John Redditt Dr
Lufkin, TX 75904
Phone (409) 634-2227

Interoperability endpoints

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

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 5

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": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1053657114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 S PEACHTREE ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514916",
            "telephone_number": "409-384-5701",
            "fax_number": "409-384-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 S PEACHTREE ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514916",
            "telephone_number": "409-384-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "JILL",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "651764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.