Individual provider Active NPI

Adam Jaynes, FNP

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1154875441
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131633 Issued in TX
Practice address
1003 Nederland Ave
Nederland, TX 77627-2832
Phone
(409) 221-8294
NPI assigned
Aug 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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 AP131633 TX Primary

Addresses

Primary practice location

1003 Nederland Ave
Nederland, TX 77627-2832

Mailing address

135 Canvasback CT
Orange, TX 77630-7268
Phone (409) 988-3901

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
I20210830003127 TX Practitioner - Nurse Practitioner 4082010087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PA 211 clinicians

Practice addresses (Care Compare)

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Express of the Beaumont Area PA CurrentSince Jun 1, 2021 Accepting new patients
Acorn Medical Home CurrentSince Sep 1, 2023 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Total Care Medical, PLLC CurrentSince Jan 17, 2024 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1650 Texas Ave
Ste G
Bridge City, TX 77611
Phone (833) 698-6825

1650 Texas Ave
Ste E
Bridge City, TX 77611
Phone (409) 313-1154

7322 Southwest Fwy
Ste 620
Houston, TX 77074

2402 Bay Area Blvd
Ste M
Houston, TX 77058
Phone (281) 488-8797

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFIGBD/Endpoint/CFIGBD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1154875441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CANVASBACK CT",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776307268",
            "telephone_number": "409-988-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NEDERLAND AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776272832",
            "telephone_number": "409-221-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "ADAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.