Individual provider Active NPI

Jamie Brantley, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1376186882
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143005 Issued in TX
Practice address
3002 Moores LN
Texarkana, TX 75503-2204
Phone
(430) 200-4350
Fax
(833) 491-2722
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 AP143005 TX Primary

Addresses

Primary practice location

3002 Moores LN
Texarkana, TX 75503-2204

Mailing address

3002 Moores LN
Texarkana, TX 75503-2204
Phone (430) 200-4350

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
I20210304000193 TX Practitioner - Nurse Practitioner 3072929785 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
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

1115 E Tyler St
Integrity Urgent Care
Athens, TX 75751-2145
Phone (903) 292-5015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Dec 27, 2023 Accepting new patients
Primamed Physicians PLLC CurrentSince Mar 14, 2023 Accepting new patients
DCS Medical PA CurrentSince Dec 27, 2023 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jun 1, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince May 1, 2021 Accepting new patients
Primamed Physicians PLLC CurrentSince Mar 14, 2023 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jun 1, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Mary Washington Healthcare Physicians Past Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

Interoperability endpoints

  • Direct secure messaging: jamie.brantleyfnp.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 11

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1376186882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032204",
            "telephone_number": "430-200-4350",
            "fax_number": "833-491-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032204",
            "telephone_number": "430-200-4350",
            "fax_number": "833-491-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "JAMIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.