Individual provider Active NPI

Jane N Kalu, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1366283228
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1163057 Issued in TX
Practice address
227 Mancos Dr
Georgetown, TX 78626-7086
Phone
(512) 461-7142
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1163057 TX Primary

Addresses

Primary practice location

227 Mancos Dr
Georgetown, TX 78626-7086

Mailing address

227 Mancos Dr
Georgetown, TX 78626-7086
Phone (512) 461-7142

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
I20250428001837 TX Practitioner - Nurse Practitioner 4385050426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians

Practice addresses (Care Compare)

12501 Longhorn Pkwy
Austin, TX 78732-1267
Phone (512) 266-5600

1505 W Hwy 290
Dripping Springs, TX 78620-3402
Phone (512) 858-5624

4141 S Braeswood Blvd
Bayou Manor TX
Houston, TX 77025-3307
Phone (713) 666-2651

5000 Thayer Dr
Suite 76549
Killeen, TX 76549-6711
Phone (254) 221-6380

810 E 13TH Ave
Belton, TX 76513-2222
Phone (254) 939-1876

999 Raintree Cir
Allen, TX 75013-4947
Phone (972) 390-8088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1163057TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Apr 23, 2025 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Apr 23, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Apr 23, 2025 Accepting new patients
Kvell Health Care Inc Current Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-8573

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 4

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1366283228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MANCOS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267086",
            "telephone_number": "512-461-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MANCOS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267086",
            "telephone_number": "512-461-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALU",
        "first_name": "JANE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1163057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.