Individual provider Active NPI

Mona Marjorie Jemison, FNP, ENP

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1104650845
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1169647 Issued in TX
Practice address
500 N Highland Ave
Sherman, TX 75092-7354
Phone
(903) 870-4611
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 1169647 TX Primary

Addresses

Primary practice location

500 N Highland Ave
Sherman, TX 75092-7354

Mailing address

2624 County Road 156
Whitesboro, TX 76273-6111
Phone (903) 267-6332

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
I20250114001344 TX Practitioner - Nurse Practitioner 5799213021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians

Practice addresses (Care Compare)

2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Level One Emergency Physicians LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857

Organizations & group practices 2

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 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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1104650845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 COUNTY ROAD 156",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762736111",
            "telephone_number": "903-267-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIGHLAND AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927354",
            "telephone_number": "903-870-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMISON",
        "first_name": "MONA",
        "middle_name": "MARJORIE",
        "credential": "FNP, ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.