NPIMap

Individual provider Active NPI

Jessa C Foster, FNP

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1083226765
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010233 Issued in TX
Practice address
202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299
Phone
(940) 329-8029
NPI assigned
Aug 23, 2020
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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 1010233 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001441 TX Practitioner - Nurse Practitioner 1759797293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

55 S FM 2353 a
Possum Kingdom Family Health
Graford, TX 76449-3251
Phone (940) 664-2169

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Family Medicine CurrentSince Jan 9, 2023 Accepting new patients
Jack County Hospital District Family Medicine CurrentSince Feb 25, 2022 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Family Medicine CurrentSince Jan 9, 2023 Accepting new patients
Jack County Hospital District CurrentSince Feb 25, 2022 Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Family Medicine Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

101 Holly Hill Rd
Mineral Wells, TX 76067
Phone (940) 325-6831

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Interoperability endpoints

  • Direct secure messaging: jessa.davis.1@11284.direct.athenahealth.com
  • Direct secure messaging: jessa.davis.2@16039.direct.athenahealth.com

Organizations & group practices 9

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 7

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": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1083226765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-7501",
            "fax_number": "940-328-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678299",
            "telephone_number": "940-329-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JESSA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.