Individual provider Active NPI

Jacail Shawuan Bailey, NP

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1295202604
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139288 Issued in TX
Practice address
1814 Roseland Blvd
Tyler, TX 75701-4234
Phone
(214) 696-8033
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139288 TX Primary

Addresses

Primary practice location

1814 Roseland Blvd
Tyler, TX 75701-4234

Mailing address

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649
Phone (214) 696-8033

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
I20181117000093 TX Practitioner - Nurse Practitioner 1850645425 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipa ER Group PLLCGroup PAC ID 9133655616, 27 clinicians

Practice addresses (Care Compare)

2850 E Hwy 114
Trophy Club, TX 76262-5302
Phone (214) 696-8033

Hospital & facility affiliations

  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2018 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Jul 14, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Starks Medical Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

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

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

5505 New Copeland Rd
Tyler, TX 75703
Phone (903) 521-9861

701 Olympic Plaza Cir
Tyler, TX 75701
Phone (903) 596-3236

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

Organizations & group practices 7

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.

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1295202604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649",
            "telephone_number": "214-696-8033",
            "fax_number": "214-361-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234",
            "telephone_number": "214-696-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JACAIL",
        "middle_name": "SHAWUAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.