Individual provider Active NPI

Jana Lynn McCallister, FNP-BC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1164895462
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129581 Issued in TX
Practice address
3801C Constitution
Suite 100
El Paso, TX 79922
Phone
(210) 762-3682
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 AP129581 TX Primary

Addresses

Primary practice location

3801C Constitution
Suite 100
El Paso, TX 79922

Mailing address

3801C Constitution
Suite 100
El Paso, TX 79922
Phone (210) 762-3682

Other practice location 1

6700 Crucero Del Sol
El Paso, TX 79911-3022
Phone (915) 637-9492

Other names 1

  • Jana McCallister Paz Former name

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
I20160324000961 TX Practitioner - Nurse Practitioner 1153628805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. CurrentSince Sep 30, 2019 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jun 1, 2022 Accepting new patients
Wellmed Medical Group, PA CurrentSince Jun 1, 2022 Accepting new patients

Locations

3801 Constitution Dr
Ste 100
El Paso, TX 79922
Phone (210) 762-3682

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: jana.mccallister@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1164895462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801C CONSTITUTION",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79922",
            "telephone_number": "210-762-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801C CONSTITUTION",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79922",
            "telephone_number": "210-762-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Crucero Del Sol",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799113022",
            "country_code": "US",
            "telephone_number": "915-637-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "JANA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "PAZ",
            "middle_name": "MCCALLISTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.