Jessie Nicole Robinson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1145162 Issued in TX

Practice address

1520 W Deberry Ave
Aransas Pass, TX 78336-4208

Phone

(808) 754-1627

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Med Partners, LLCGroup PAC ID 7618419920, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Revive Med Partners, LLC

  • Internal Medicine Physician
  • Highland Village, TX
  • NPI 1669237798

  Family

  Medicare reassignment Care Compare group NPD
• Revive Med Partners I LLC

  • Family Medicine Physician
  • Highland Village, TX
  • NPI 1881400323
  Medicare reassignment NPD

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1083483309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W DEBERRY AVE",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364208",
            "telephone_number": "808-754-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W DEBERRY AVE",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364208",
            "telephone_number": "808-754-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JESSIE",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1145162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kraatz PLLC
• Melissa Dennise Reyes
• Mahlon Layton Rigg, OPTICIAN
• Brandy D Rios, PHARMD
• Faviola Rios
• Rachel Robinson, PHAM D
• Scooters and More
• Craig M Smith, PHYSICIAN ASSISTANT
• Heather Lee Smith, PSYD
• Raleigharnoldiii Smith, M.D.

• Family Nurse Practitioner in Aransas Pass, TX
• Providers in Aransas Pass, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.