Individual provider Active NPI

Jason Ben Wu, NP-C

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1104323336
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP136586 Issued in TX
Practice address
6720 Bertner Ave
Houston, TX 77030-2604
Phone
(713) 798-1000
NPI assigned
Apr 13, 2018
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP136586 TX Primary
Critical Care Medicine Nurse Practitioner 363LC0200X AP136586 TX
Family Nurse Practitioner 363LF0000X AP136586 TX

Addresses

Primary practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

1725 Main St Unit 1715
Houston, TX 77002-8158
Phone (713) 653-4698

Other practice location 1

6901 Bertner Ave
Houston, TX 77030-3901
Phone (713) 500-2000

Other practice location 2

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 244-4571

Other practice location 3

710 Fm 1960 Rd W
Houston, TX 77090-3402
Phone (281) 440-1000

Other identifiers 2

IdentifierTypeStateIssuer
AP10221OtherLALOUISIANA STATE BOARD OF NURSING
AP136586OtherTXTEXAS BOARD OF NURSING

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
I20180518001833 TX Practitioner - Nurse Practitioner 4789949876 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 798-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136586TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC CurrentSince May 1, 2019 Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 22, 2020 Accepting new patients
Emergency Associates of Central Texas PA CurrentSince Sep 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 23, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Longhorn Emergency Medical Associates PA CurrentSince Oct 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Jul 17, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 22, 2020 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Jun 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 23, 2020 Accepting new patients
Advanced Practice House Calls LLC Acute Care CurrentSince Oct 28, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Jul 17, 2023 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Mar 1, 2022 Accepting new patients
Methodist Health Centers Past Accepting new patients
Advance Pharmacy LLC Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1104323336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MAIN ST UNIT 1715",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028158",
            "telephone_number": "713-653-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "713-798-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Bertner Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303901",
            "country_code": "US",
            "telephone_number": "713-500-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Denver Ave",
            "address_purpose": "LOCATION",
            "city": "Dalhart",
            "state": "TX",
            "postal_code": "790224809",
            "country_code": "US",
            "telephone_number": "806-244-4571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Fm 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770903402",
            "country_code": "US",
            "telephone_number": "281-440-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JASON",
        "middle_name": "BEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP136586",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP136586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF NURSING",
            "identifier": "AP10221",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP136586",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.