Individual provider Active NPI

Jayne Ferguson Oliver, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1265728836
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP120886 Issued in TX
Practice address
1414 S Frazier St Ste 105-106
Conroe, TX 77301-4453
Phone
(936) 441-2440
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP120886 TX Primary

Addresses

Primary practice location

1414 S Frazier St Ste 105-106
Conroe, TX 77301-4453

Mailing address

281 Century LN
Bellville, TX 77418-3919
Phone (936) 254-4231

Other names 1

  • Ms. Jayne Gray Ferguson Former name

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
I20111130000659 TX Practitioner - Nurse Practitioner 8123292133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Hope Foundation IncGroup PAC ID 4880508878, 7 clinicians

Practice addresses (Care Compare)

14815 Southwest Fwy
Sugar Land, TX 77478-5016
Phone (281) 277-8571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120886TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Hope Foundation, Inc. CurrentSince Nov 8, 2021 Accepting new patients
St Hope Foundation Inc Current Accepting new patients
St. Hope Foundation, Inc CurrentSince Nov 8, 2021 Accepting new patients
St Hope Foundation Inc PastSince Feb 24, 2022 Accepting new patients

Locations

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

1414 S Frazier St
Ste 105106
Conroe, TX 77301
Phone (936) 441-2440

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

14815 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 277-8571

Organizations & group practices 5

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1265728836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 CENTURY LN",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774183919",
            "telephone_number": "936-254-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S FRAZIER ST STE 105-106",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014453",
            "telephone_number": "936-441-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JAYNE",
        "middle_name": "FERGUSON",
        "name_prefix": "Ms.",
        "credential": "FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP120886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNE",
            "last_name": "FERGUSON",
            "middle_name": "GRAY",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.