Individual provider Active NPI

Jamie Prieto, FNP

  • Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1306376827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
608728 Issued in TN
Practice address
102 N Magdalen St
San Angelo, TX 76903-5400
Phone
(325) 658-1511
Fax
(325) 481-2394
NPI assigned
Jun 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 608728 TN Primary

Addresses

Primary practice location

102 N Magdalen St
San Angelo, TX 76903-5400

Mailing address

11605 N Lamar Blvd
Austin, TX 78753-2658
Phone (325) 658-1511

Other identifiers 2

IdentifierTypeStateIssuer
583571YKRYOtherTXPTIN MEDICARE
8GY930OtherTXBCBS

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
I20170724000381 TX Practitioner - Nurse Practitioner 6608146709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawson County Hospital DistrictGroup PAC ID 6800832155, 25 clinicians
Muleshoe Area Hospital DistrictGroup PAC ID 8820906167, 11 clinicians

Practice addresses (Care Compare)

2200 N Bryan Ave
Lamesa, TX 79331-2451
Phone (806) 872-2183

708 S 1St St
Muleshoe, TX 79347-3627
Phone (806) 272-4524

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
608728TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson County Hospital District CurrentSince Mar 12, 2021 Accepting new patients
Muleshoe Area Hospital District CurrentSince Nov 13, 2025 Accepting new patients
Dawson County Hospital District CurrentSince Mar 12, 2021 Accepting new patients
Lynn County Hospital District Nurse Practitioner CurrentSince Feb 23, 2025 Accepting new patients
Muleshoe Area Hospital District CurrentSince Nov 13, 2025 Accepting new patients
Lynn County Hospital District CurrentSince Feb 23, 2025 Accepting new patients
Lynn County Hospital District Nurse Practitioner Current Accepting new patients

Locations

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

2202 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-7291

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

1104 N Avenue S
Post, TX 79356
Phone (806) 495-2853

2600 Lockwood St
Tahoka, TX 79373
Phone (806) 998-4533

Interoperability endpoints

  • Direct secure messaging: jprieto@medicalarts.ssdirect.aprima.com
  • Direct secure messaging: jprieto@yourcarecommunity.org
  • Direct secure messaging: jprieto8967@shannonhealth.direct-ci.com

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

Hospital & facility affiliations 6

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306376827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532658",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAGDALEN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035400",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JAMIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "608728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTIN MEDICARE",
            "identifier": "583571YKRY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GY930",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.