Individual provider Active NPI

Jenell Curnese Jackson, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1407290950
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
S5393 Issued in TX
Practice address
3636 Greenbriar Dr Ste 2a
Houston, TX 77098-4004
Phone
(832) 899-5699
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2018-01244 NC
Ophthalmology Physician 207W00000X S5393 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 2018-01244 NC
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X S5393 TX Primary

Addresses

Primary practice location

3636 Greenbriar Dr Ste 2a
Houston, TX 77098-4004

Mailing address

2771 Clinton Dr
Houston, TX 77020-8435
Phone (404) 790-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210111002593 TX Practitioner - Ophthalmology 3779880463 Reassigns benefits to 3 organizations
I20250410002494 GA Practitioner - Ophthalmology 3779880463

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Morehouse School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

Practice addresses (Care Compare)

1400 Common Dr
El Paso, TX 79936-5922
Phone (915) 595-4375

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
96.89
Improvement activities
40
Cost
53.63

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
80.36
Promoting interoperability
99
Improvement activities
40
Cost
84.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S5393TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Southeast Texas LLP Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Marc Ellman, M.D., P.a. Ophthalmology CurrentSince Sep 30, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Modern Eye PLLC Ophthalmology CurrentSince Aug 31, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Southwest Eye Institute, Inc. Ophthalmology Past Accepting new patients

Locations

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009

3220 Milam St
Beaumont, TX 77701
Phone (409) 838-3725

1400 Common Dr
El Paso, TX 79936
Phone (915) 267-2020

4171 N Mesa St
Ste D100
El Paso, TX 79902
Phone (915) 545-2333

3636 Greenbriar Dr
Ste 200B
Houston, TX 77098
Phone (713) 530-0733

10130 Grant Rd
#212
Houston, TX 77070
Phone (346) 776-2020

Interoperability endpoints

  • Direct secure messaging: janell.jackson.p26@direct.avp.nextgenshare.com
  • Direct secure messaging: jjackson@ecsetx.intellechartdirect.net

Organizations & group practices 8

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1407290950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 CLINTON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770208435",
            "telephone_number": "404-790-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 GREENBRIAR DR STE 2A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984004",
            "telephone_number": "832-899-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENELL",
        "middle_name": "CURNESE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2018-01244",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S5393",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "2018-01244",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "S5393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.