NPIMap

Individual provider Active NPI

Jean-Pierre Letellier, MD

  • Family Medicine Physician
  • Seminole, TX
National Provider Identifier
1235107657
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3003 Issued in TX
Practice address
1004 Hobbs Hwy
Ste 4
Seminole, TX 79360-3300
Phone
(432) 758-4960
Fax
(432) 758-4979
NPI assigned
Mar 10, 2006
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M3003 TX Primary
Emergency Medicine Physician 207P00000X M3003 TX

Addresses

Primary practice location

1004 Hobbs Hwy
Ste 4
Seminole, TX 79360-3300

Mailing address

1004 Hobbs Hwy
Ste 4
Seminole, TX 79360-3300
Phone (432) 758-4960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000506 TX Practitioner - Family Practice 9537175724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acton Medical Clinic PAGroup PAC ID 1254397961, 3 clinicians

Practice addresses (Care Compare)

2006 Fall Creek Hwy
Granbury, TX 76049-7913
Phone (817) 326-3440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3003TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Hospital District of Gaines County Texas CurrentSince Jan 26, 2006 Accepting new patients
Acton Medical Clinic PA Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine CurrentSince Jan 26, 2006 Accepting new patients

Locations

2006 Fall Creek Hwy
Granbury, TX 76049
Phone (817) 326-3440

2331 W Shady Grove Rd
#100
Irving, TX 75060
Phone (817) 326-3440

1004 Hobbs Hwy
Ste 4
Seminole, TX 79360
Phone (432) 758-4777

207 NW 8th St
Seminole, TX 79360
Phone (432) 758-1155

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BABHBD/Endpoint/BABHBD
  • Direct secure messaging: jeanpierre.letellier@actmc.eclinicaldirectplus.com

Organizations & group practices 4

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 6

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1235107657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HOBBS HWY",
            "address_2": "STE 4",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603300",
            "telephone_number": "432-758-4960",
            "fax_number": "432-758-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HOBBS HWY",
            "address_2": "STE 4",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603300",
            "telephone_number": "432-758-4960",
            "fax_number": "432-758-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETELLIER",
        "first_name": "JEAN-PIERRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3003",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, TX

Sources for this page

Verify at the official NPI Registry.