Individual provider Active NPI

Garrett Benjamin Roy, RN, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1407108715
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
805136 Issued in TX
Practice address
4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159
Phone
(409) 767-9285
NPI assigned
Oct 10, 2012
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 805136 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 805136 TX Primary

Addresses

Primary practice location

4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159

Mailing address

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone (409) 983-1161

Other practice location 1

2548 Memorial Blvd
Port Arthur, TX 77640
Phone (409) 983-1161

Other identifiers 1

IdentifierTypeStateIssuer
805136OtherTXTEXAS BOARD OF NURSING

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
I20140110000788 TX Practitioner - Nurse Practitioner 0143458562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
72.94
Improvement activities
40
Cost
48.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
805136TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Apr 27, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Apr 27, 2015 Accepting new patients
Primary Care Anywhere, PLLC Family CurrentSince Jul 15, 2019 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Nov 8, 2013 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Nov 8, 2013 Accepting new patients

Locations

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

4347 Phelan Blvd
Ste 101
Beaumont, TX 77707
Phone (409) 767-8686

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

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

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

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

Organizations & group practices 5

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1407108715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-767-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2548 Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "77640",
            "country_code": "US",
            "telephone_number": "409-983-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "GARRETT",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "805136",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "805136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "805136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.