Individual provider Active NPI

Courtney Danielle Jones, APRN

  • Family Nurse Practitioner
  • Decatur, TX
National Provider Identifier
1356910640
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045421 Issued in TX
Practice address
215 Westside Dr Ste 200
Decatur, TX 76234-3869
Phone
(940) 732-5700
Fax
(940) 273-5699
NPI assigned
Jun 21, 2021
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 1045421 TX Primary

Addresses

Primary practice location

215 Westside Dr Ste 200
Decatur, TX 76234-3869

Mailing address

215 Westside Dr Ste 200
Decatur, TX 76234-3869
Phone (940) 273-5700

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
I20210719003593 TX Practitioner - Nurse Practitioner 6406259159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality Medical PLLCGroup PAC ID 5496122616, 3 clinicians

Practice addresses (Care Compare)

215 Westside Dr
Suite 200
Decatur, TX 76234-3869
Phone (940) 273-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1045421TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Medical PLLC Family CurrentSince Nov 1, 2022 Accepting new patients
North Texas Arrhythmia Associates PA Past Accepting new patients
Pilot Point Family Practice Management Inc. Family Medicine Past Accepting new patients

Locations

1451 W Business 380
Ste 3B
Decatur, TX 76234
Phone (940) 389-4180

215 Westside Dr
Ste 200
Decatur, TX 76234
Phone (940) 273-5700

Interoperability endpoints

  • Direct secure messaging: courtney.jones@4668404203524.direct.elationemr.com

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

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1356910640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WESTSIDE DR STE 200",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343869",
            "telephone_number": "940-273-5700",
            "fax_number": "940-273-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WESTSIDE DR STE 200",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343869",
            "telephone_number": "940-732-5700",
            "fax_number": "940-273-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "COURTNEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.