NPIMap

Individual provider Active NPI

Jessica Macwan

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1275308314
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1141907 Issued in TX
Practice address
5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175
Phone
(972) 599-9600
Fax
(972) 599-9696
NPI assigned
Nov 20, 2023
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 1141907 TX Primary

Addresses

Primary practice location

5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175

Mailing address

5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175
Phone (972) 599-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.macwan.1@30724.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024002417 TX Practitioner - Nurse Practitioner 2860980380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2701 Sunset Ridge Dr
Suite 200
Rockwall, TX 75032-0007
Phone (972) 772-5450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1141907TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Mar 1, 2026 Accepting new patients
North Texas Village Health Partners, PA CurrentSince Feb 4, 2024 Accepting new patients
Catalyst Physician Group - NTX, PLLC CurrentSince Aug 15, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2026 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5655 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

2701 Sunset Ridge Dr
Ste 200
Rockwall, TX 75032
Phone (972) 772-5450

Interoperability endpoints

  • Direct secure messaging: jessica.macwan.1@30724.direct.athenahealth.com

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 11

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1275308314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244175",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244175",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACWAN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1141907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.macwan.1@30724.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5655 W Spring Creek Pkwy Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750244175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.