Individual provider Active NPI

Jillian Marie Wittman, ANP

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1104113299
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
844043 Issued in TX
Practice address
6400 Fannin St Ste 2800
Houston, TX 77030-1534
Phone
(713) 486-8000
Fax
(713) 486-8088
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305710 NY
Adult Health Nurse Practitioner 363LA2200X 844043 TX Primary

Addresses

Primary practice location

6400 Fannin St Ste 2800
Houston, TX 77030-1534

Mailing address

6400 Fannin St Ste 2070
Houston, TX 77030-1541
Phone (713) 486-7747

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
I20131025001202 TX Practitioner - Nurse Practitioner 3870755226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

6400 Fannin St
Suite 2150
Houston, TX 77030-1524
Phone (713) 486-8100

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305710NYMDAdult Health Nurse Practitioner
844043TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 1, 2019 Accepting new patients

Locations

1631 North Loop W
Ste 245
Houston, TX 77008
Phone (713) 486-8150

6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731

6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100

6400 Fannin St
Ste 2730
Houston, TX 77030

6400 Fannin St
Ste 2150
Houston, TX 77030
Phone (713) 486-8100

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

Organizations & group practices 1

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1104113299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2070",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301541",
            "telephone_number": "713-486-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301534",
            "telephone_number": "713-486-8000",
            "fax_number": "713-486-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305710",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "844043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.