Jeanine Azzo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18155 Issued in TX

Practice address

4630 Long Prairie Rd Ste 210
Flower Mound, TX 75028-1964

Phone

(469) 495-9112

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Urgent Care 128 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jazzo2571773@direct.texashealth.org

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.

• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Arlington, TX
  • NPI 1952915365

  Physician Assistant, TX

  Medicare reassignment Care Compare group NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Flower Mound, TX
  • NPI 1083210140
  NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1104431527
  NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Allen, TX
  • NPI 1629724315
  NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • McKinney, TX
  • NPI 1972118388
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1245945153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990304",
            "telephone_number": "405-256-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 LONG PRAIRIE RD STE 210",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281964",
            "telephone_number": "469-495-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 S Mustang Rd",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730990304",
            "country_code": "US",
            "telephone_number": "405-256-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZZO",
        "first_name": "JEANINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4891",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jazzo2571773@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3210 Milrany Ln",
            "address_2": "Ste 100",
            "city": "Melissa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley P Axline, MD
• Axxess Health Care
• Axxess Health Care Provider
• Axxess Healthcare Provider
• Caitlin Ayres, DPT
• B L Wasson DO PA Internal Medicine
• Back2Life Physical Therapy and Wellness
• Jessica Bacott
• Beverly Badd, PMHNP-BC
• Jennifer Nalini Baggerly, PH.D., LPC-S, RPT-S

• All providers in Flower Mound, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.