Individual provider Active NPI

Jan Merck Framo Demasiado

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1265880629
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130814 Issued in TX
Practice address
10201 McPherson Rd Ste 300
Laredo, TX 78045-6880
Phone
(956) 795-1160
NPI assigned
May 26, 2016
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130814 TX Primary

Addresses

Primary practice location

10201 McPherson Rd Ste 300
Laredo, TX 78045-6880

Mailing address

PO Box 2428
Laredo, TX 78044-2428
Phone (956) 949-0567

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jan.merck.demasiado.1@1902.direct.athenahealth.com

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
I20161116001812 TX Practitioner - Nurse Practitioner 9739468695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632

4415 S Zapata Hwy
Suite 100
Laredo, TX 78046-8679
Phone (956) 724-5525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130814TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Sep 27, 2016 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2019 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2019 Accepting new patients
Timberland Medical Group Family CurrentSince Sep 27, 2016 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

10201 McPherson Rd
Ste 300
Laredo, TX 78045
Phone (956) 795-1160

4415 S Zapata Hwy
Ste 100
Laredo, TX 78046
Phone (956) 724-5525

801 N US Highway 83
Zapata, TX 78076
Phone (956) 765-8494

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

Hospital & facility affiliations 1

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1265880629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2428",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780442428",
            "telephone_number": "956-949-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MCPHERSON RD STE 300",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456880",
            "telephone_number": "956-795-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASIADO",
        "first_name": "JAN MERCK",
        "middle_name": "FRAMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jan.merck.demasiado.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "10201 McPherson Rd Ste 300",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780456880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.