Jannie Wong, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP138114 Issued in TX

Practice address

1905 W Ennis Ave Ste 303
Ennis, TX 75119-3626

Phone

(469) 256-0343

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mana Health Partners TX PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1639970734
  Medicare reassignment Care Compare group NPD
• Cardio & Renal Therapeutics of North Texas PLLC

  • Nephrology Physician
  • Sherman, TX
  • NPI 1649813296
  Medicare reassignment NPD

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1225515000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 OLYMPIA DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281857",
            "telephone_number": "469-322-0089",
            "fax_number": "972-852-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W ENNIS AVE STE 303",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193626",
            "telephone_number": "469-256-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 W Ennis Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751193626",
            "country_code": "US",
            "telephone_number": "469-256-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 W Ennis Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751193626",
            "country_code": "US",
            "telephone_number": "469-256-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JANNIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138114",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP138114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Alexander Williams, MD
• Victoria Williams, RN
• John N Willms, RPH
• Jocelyn Womack
• Wonderfully Made Therapies, PLLC.
• Deana Marie Wright, P.T.
• Christy Rachel Yetter I, MPAS, PA-C
• Freddie Yeung, PHARMD
• Andrea Lee Young, MA, LCDC
• Jill Marie Young, MS CCC-SLP

• Adult Health Nurse Practitioner in Ennis, TX
• Providers in Ennis, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.