Jillian Kagen Phillips, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141183 Issued in TX

Practice address

6051 FM 3009 Ste 210
Schertz, TX 78154-3473

Phone

(210) 299-7770

Fax

(833) 502-1747

NPI assigned

Apr 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jillian.phillips@1915.securemail.prognocis.com

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.

• CC Healthcare Systems, LLC

  • General Practice Physician
  • New Braunfels, TX
  • NPI 1881922102
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1306308598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 FM 3009 STE 210",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543473",
            "telephone_number": "210-299-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FM 3009 STE 210",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543473",
            "telephone_number": "210-299-7770",
            "fax_number": "833-502-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JILLIAN",
        "middle_name": "KAGEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Anecia Perez
• Charles Barnett Peters III, D.D.S., M.S.
• Nicole Joy Peters
• Rebecca Peterson, CCC-SLP
• Tammy Pham, PA-C
• Tiffany J Phillips, NCSP, PH.D., LSSP
• Sandy Picasso
• Stephanie Brooke Piche, RBT
• Meghan Ashley Nichole Pieart, LVN
• Ashley Michelle Pina, AUD

• Family Nurse Practitioner in Schertz, TX
• Providers in Schertz, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.