Individual provider Active NPI

Jessica Leighann Middleton, FNP-BC

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1265931067
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136411 Issued in TX
Practice address
318 N 23Rd St
Beaumont, TX 77707-2241
Phone
(409) 210-5080
Fax
(281) 746-9909
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 AP136411 TX Primary

Addresses

Primary practice location

318 N 23Rd St
Beaumont, TX 77707-2241

Mailing address

318 N 23Rd St
Beaumont, TX 77707-2241
Phone (409) 210-5080

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
I20200514001639 TX Practitioner - Nurse Practitioner 1153752712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

705 Hwy 418 W
Silsbee, TX 77656-3635
Phone (409) 385-0033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136411TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince May 1, 2025 Accepting new patients
Sabine-Neches Family Clinic LLC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

604 FM 1293 Rd
Kountze, TX 77625
Phone (409) 246-3418

604 FM 1293 Rd
#409246
Kountze, TX 77625

8595 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 721-8600

1105 Highway 418 W
Silsbee, TX 77656
Phone (409) 385-3784

705 Highway 418 W
Silsbee, TX 77656
Phone (409) 385-0033

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1265931067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N 23RD ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-210-5080",
            "fax_number": "281-746-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N 23RD ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-210-5080",
            "fax_number": "281-746-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "JESSICA",
        "middle_name": "LEIGHANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.