Individual provider Active NPI

Jason B Sapp, NP

  • Family Nurse Practitioner
  • Mabank, TX
National Provider Identifier
1376909291
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
716302 Issued in TX
Practice address
604 S 3Rd St Ste a
Mabank, TX 75147-2727
Phone
(903) 887-1073
Fax
(903) 887-0496
NPI assigned
Jan 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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 716302 TX Primary

Addresses

Primary practice location

604 S 3Rd St Ste a
Mabank, TX 75147-2727

Mailing address

604 S 3Rd St Ste a
Mabank, TX 75147-2727
Phone (903) 887-1073

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
I20160401001920 TX Practitioner - Nurse Practitioner 6103123369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

604 S 3Rd St
Mabank, TX 75147-2700
Phone (903) 887-1073

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
716302TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Mar 1, 2016 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2016 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

604 S 3rd St
Mabank, TX 75147
Phone (903) 887-1073

604 S 3rd St
Ste A
Mabank, TX 75147
Phone (903) 603-5400

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: jsapp37105@direct.texashealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1376909291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 3RD ST STE A",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751472727",
            "telephone_number": "903-887-1073",
            "fax_number": "903-887-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 3RD ST STE A",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751472727",
            "telephone_number": "903-887-1073",
            "fax_number": "903-887-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "716302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mabank, TX

Sources for this page

Verify at the official NPI Registry.