Individual provider Active NPI

Jason John Baney, NP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1063645661
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
671177 Issued in TX
Practice address
7101 Williams Dr
Corpus Christi, TX 78412-4947
Phone
(361) 854-1910
Fax
(361) 884-1555
NPI assigned
Aug 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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 671177 TX Primary

Addresses

Primary practice location

7101 Williams Dr
Corpus Christi, TX 78412-4947

Mailing address

7101 Williams Dr
Corpus Christi, TX 78412-4947
Phone (361) 510-9726

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
I20140527001730 TX Practitioner - Nurse Practitioner 0941423628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Tschickardt, M.D., P.a. CurrentSince Dec 28, 2020 Accepting new patients
Ann M Aleman-Weinmann MD., Facp PA Past Accepting new patients
Adriana Pop-Moody MD Clinic PA Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Titan Anesthesia Associates LLC PastSince May 3, 2009 Accepting new patients

Locations

7101 Williams Dr
Corpus Christi, TX 78412
Phone (361) 561-0144

Interoperability endpoints

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1063645661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-510-9726",
            "fax_number": "361-884-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-854-1910",
            "fax_number": "361-884-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEY",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-29",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "671177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.