Jeffrey Dwain Pierce, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1068251 Issued in TX

Practice address

1501 E Loop 304 Ste 50
Crockett, TX 75835-3419

Phone

(936) 544-7223

Fax

(936) 544-8083

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jr Family Healthcare, PLLCGroup PAC ID 2466889027, 4 clinicians

Texas Aandm University System Health Science CenterGroup PAC ID 6709241300, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Traditions Health Home health agency, Madisonville, TX, CCN 747834
• Crockett Medical Center Hospital, Crockett, TX, CCN 451393

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jr Family Healthcare, PLLC

  dba Houston County Family Medical Clinic

  • Rural Health Clinic/Center
  • Crockett, TX
  • NPI 1750921441

  Family

  Medicare reassignment Care Compare group NPD
• Elite Weight Loss and Testosterone

  • Family Nurse Practitioner
  • Crockett, TX
  • NPI 1023827888
  NPD Authorized official
• Texas a&M University System Health Science Center

  dba Texas A&M University School of Nursing Mobile Clinic

  • Rural Health Clinic/Center
  • Bryan, TX
  • NPI 1851918700
  Care Compare group
• Jr Family Healthcare, PLLC

  dba Chester Family Clinic

  • Rural Health Clinic/Center
  • Chester, TX
  • NPI 1871437962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mid Coast Medical Center Crockett Inc

  dba Crockett Medical Center

  • Critical Access Hospital
  • Crockett, TX
  • NPI 1114435260
  Care Compare affiliation
• Traditions Health Care of Madisonville, LLC

  dba Traditions Health

  • Home Health Agency
  • Madisonville, TX
  • NPI 1437429065
  Care Compare affiliation

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1245982875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E LOOP 304 STE 50",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758353419",
            "telephone_number": "936-544-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E LOOP 304 STE 50",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758353419",
            "telephone_number": "936-544-7223",
            "fax_number": "936-544-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JEFFREY",
        "middle_name": "DWAIN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray L Morrison, D.O.
• Raven D Moses, LVN
• Northland Hearing Center, Inc. (SoundWorks Hearing Centers)
• Carolyn Ogle, OD
• Peace of Mind Health Care
• Pineview Nursing and Rehabilitation Center, LLC
• Pineywoods Medical Clinic, PLLC
• William Koraen Pope, O.D.
• Everett Perry Ramsey III, M.D
• Ray L Morrison D.O. PA

• Family Nurse Practitioner in Crockett, TX
• Providers in Crockett, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.