Individual provider Active NPI

Jessica Marie Nelson, M.D.

  • Emergency Medicine Physician
  • Highland Village, TX
National Provider Identifier
1447517594
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P8957 Issued in TX
Practice address
3160 Justin Rd
Highland Village, TX 75077-7049
Phone
(214) 247-7728
Fax
(469) 863-8956
NPI assigned
Apr 13, 2012
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P8957 TX Primary

Addresses

Primary practice location

3160 Justin Rd
Highland Village, TX 75077-7049

Mailing address

2427 Southwood Dr
Dallas, TX 75233-2837
Phone (214) 693-4372

Other practice location 1

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058

Other practice location 2

2800 Little Elm Pkwy
Little Elm, TX 75068-6650
Phone (214) 307-6522

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150402000435 TX Practitioner - Emergency Medicine 3173840006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Carrollton PLLCGroup PAC ID 2961830666, 5 clinicians

Practice addresses (Care Compare)

4343 N Josey LN
Carrollton Regional Medical Center
Carrollton, TX 75010-4603
Phone (469) 420-5527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
89.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8957TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Carrollton PLLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
WH Services Dallas LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Legacy Urgent Care, PA CurrentSince Oct 29, 2022 Accepting new patients
Frisco Emergency Medicine Associates, PA Emergency Medicine Past Accepting new patients

Locations

1310 W Exchange Pkwy
Allen, TX 75013
Phone (972) 678-4545

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

4343 N Josey Ln
Ste 919
Carrollton, TX 75010

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

211 W Frontier Pkwy
Prosper, TX 75078
Phone (469) 868-9100

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.

Hospital & facility affiliations 1

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1447517594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 SOUTHWOOD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332837",
            "telephone_number": "214-693-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 JUSTIN RD",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777049",
            "telephone_number": "214-247-7728",
            "fax_number": "469-863-8956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Little Elm Pkwy",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750686650",
            "country_code": "US",
            "telephone_number": "214-307-6522",
            "fax_number": "469-440-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P8957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

Verify at the official NPI Registry.