Individual provider Active NPI

Jayoung Jeong, FNP-C

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1245816404
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029115 Issued in TX
Practice address
2944 Motley Dr Ste 401
Mesquite, TX 75150-3464
Phone
(972) 289-2273
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1029115 TX
Family Nurse Practitioner 363LF0000X 1029115 TX Primary

Addresses

Primary practice location

2944 Motley Dr Ste 401
Mesquite, TX 75150-3464

Mailing address

2944 Motley Drive
401
Mesquite, TX 75150-3464
Phone (972) 289-2273

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
I20210504000226 TX Practitioner - Nurse Practitioner 7012326002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doorstep Procare Management LLCGroup PAC ID 8527366889, 11 clinicians

Practice addresses (Care Compare)

2944 Motley Dr
Suite 401
Mesquite, TX 75150-3464
Phone 9722892273107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1029115TXMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Doorstep Procare Management LLC CurrentSince May 24, 2021 Accepting new patients
Medinet Healthcare Agency Inc CurrentSince Jul 18, 2022 Accepting new patients
Envy IV, LLC Primary Care PastSince Nov 5, 2023 Accepting new patients

Locations

4425 Plano Pkwy
Ste 203
Carrollton, TX 75010
Phone (972) 752-6206

2944 Motley Dr
Ste 401
Mesquite, TX 75150
Phone (972) 289-2273

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1245816404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DRIVE",
            "address_2": "401",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503464",
            "telephone_number": "972-289-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR STE 401",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503464",
            "telephone_number": "972-289-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "JAYOUNG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "1029115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.