Individual provider Active NPI

Jessy Joshy Varghese

  • Family Nurse Practitioner
  • Corsicana, TX
National Provider Identifier
1194282319
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140708 Issued in TX
Practice address
3201 W Highway 22
Corsicana, TX 75110-2450
Phone
(903) 654-1010
NPI assigned
Feb 24, 2019
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 AP140708 TX Primary

Addresses

Primary practice location

3201 W Highway 22
Corsicana, TX 75110-2450

Mailing address

3201 W Highway 22
Corsicana, TX 75110-2469
Phone (903) 654-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessy.varghese.2@1902.direct.athenahealth.com

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
I20200109001674 TX Practitioner - Nurse Practitioner 4082049564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Navarro Hospital LPGroup PAC ID 0143126888, 5 clinicians

Practice addresses (Care Compare)

3124 W Hwy 22
Corsicana, TX 75110-2435
Phone (903) 641-4270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
82.79
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140708TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince May 1, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince May 1, 2020 Accepting new patients
Navarro Hospital LP Current Accepting new patients
Navarro Emergency Physicians PLLC CurrentSince Apr 11, 2021 Accepting new patients
Navarro Hospital LP Family CurrentSince Aug 1, 2020 Accepting new patients
Navarro Hospital LP Past Accepting new patients

Locations

301 Hospital Dr
#150
Corsicana, TX 75110
Phone (903) 641-4800

3201 Corsicana Crossings Blvd
#101
Corsicana, TX 75109

3201 Corsicana Crossings Blvd
Ste 101
Corsicana, TX 75109
Phone (903) 872-6065

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

Organizations & group practices 6

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.

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1194282319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102469",
            "telephone_number": "903-654-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102450",
            "telephone_number": "903-654-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JESSY",
        "middle_name": "JOSHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessy.varghese.2@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3201 W Highway 22",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751102450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.