Individual provider Active NPI

Jacquelyne Kay Chumley, APRN-CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1457017030
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1058669 Issued in TX
Practice address
5001 N Piedras St
El Paso, TX 79930-4210
Phone
(915) 252-9493
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5206 NM
Nurse Practitioner 363L00000X 41626 TX
Military Health Care Provider 171000000X
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 864779 TX
Psychiatric/Mental Health Registered Nurse 163WP0808X 864779 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1058669 TX Primary
Specialist 174400000X 2021100078 TX
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 864779 TX
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X CS00231176 NM
Registered Nurse 163W00000X 864779 TX

Addresses

Primary practice location

5001 N Piedras St
El Paso, TX 79930-4210

Mailing address

234 Gonzalo Cir
El Paso, TX 79932-2247
Phone (915) 252-9493

Other practice location 1

1100 E Northampton St
Laurel Run, PA 18706-9520
Phone (570) 823-1171

Other practice location 2

100 N Buckstown Rd Ste E100
Langhorne, PA 19047-1815
Phone (215) 249-6226

Other practice location 3

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone (832) 869-4818

Other practice location 4

902 Frostwood Dr Ste 201
Houston, TX 77024-2402
Phone (832) 869-4818

Other practice location 5

23838 Highway 59 N
Kingwood, TX 77339-1531
Phone (832) 869-4818

Other practice location 6

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone (832) 869-4818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacquelyne.chumley@va.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, MO, FL, IN, NM, VA, NV, KS, CO, TN, GA12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20220131001985 TX Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 3 organizations
I20240830002432 MI Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20240911003839 MO Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20241003000039 FL Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 3 organizations
I20241101001617 IN Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 3 organizations
I20250108001060 NM Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20250806000110 VA Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20251106004567 NV Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20251107003455 KS Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20251112002029 CO Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20260316000689 TN Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations
I20260522002542 GA Practitioner - Nurse Practitioner 0547653396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone 8328694818235

325 Cherokee Blvd
Suite 102
Chattanooga, TN 37405-4476
Phone 83286948181004

465 Winn Way
Suite 130
Decatur, GA 30030-1722
Phone (832) 869-4818

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

5100 Indian Creek Pkwy
Overland Park, KS 66207-4115
Phone 8328694818235

6169 S Balsam Way
Suite 320
Littleton, CO 80123-3064
Phone 8328694818235

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone 8328694818235

6720 Parkdale PL
Indianapolis, IN 46254-4668
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone 8328694818235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CS00231176NMMDAddiction (Substance Use Disorder) Registered Nurse
864779TXMDPsychiatric/Mental Health Registered Nurse
2021100078TXMDSpecialist
41626TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5206NMMDNurse Practitioner
1058669TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Associates of Michigan, PLLC Psychiatric/Mental Health CurrentSince Aug 16, 2024 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 27, 2024 Accepting new patients
Mind Care Psychiatry Consultants, PA CurrentSince Jan 1, 2022 Accepting new patients
Indiana United Psych LLC Nurse Practitioner CurrentSince Dec 2, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Dec 9, 2024 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 19, 2024 Accepting new patients

Locations (25 of 47)

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5446 N Academy Blvd
Ste 102
Colorado Springs, CO 80918
Phone (719) 224-8690

1554 N Emerson St
Unit 5
Denver, CO 80218
Phone (720) 358-2862

6169 S Balsam Way
Ste 320
Littleton, CO 80123
Phone (303) 973-3668

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

465 Winn Way
Ste 130
Decatur, GA 30030
Phone (404) 295-0148

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

5100 Indian Creek Pkwy
Shawnee Mission, KS 66207
Phone (913) 544-1957

6135 SW 17th St
Topeka, KS 66615
Phone (785) 670-6760

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

290 Town Center Dr
Ste 141
Dearborn, MI 48126

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

1717 Shaffer St
Ste 209
Kalamazoo, MI 49048
Phone (269) 342-2991

1834 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 334-5070

639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000

3541 Randolph Rd
Ste 102W
Charlotte, NC 28211
Phone (704) 582-9799

322 Lamar Ave
Ste 220
Charlotte, NC 28204
Phone (704) 914-5910

Interoperability endpoints

  • Direct secure messaging: jacquelyne.chumley.1@13131.direct.athenahealth.com

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, 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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1457017030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GONZALO CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322247",
            "telephone_number": "915-252-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799304210",
            "telephone_number": "915-252-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Northampton St",
            "address_purpose": "LOCATION",
            "city": "Laurel Run",
            "state": "PA",
            "postal_code": "187069520",
            "country_code": "US",
            "telephone_number": "570-823-1171",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Buckstown Rd Ste E100",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471815",
            "country_code": "US",
            "telephone_number": "215-249-6226",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637037539",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Frostwood Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242402",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23838 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391531",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7877 Willow Chase Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705934",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUMLEY",
        "first_name": "JACQUELYNE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "5206",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "41626",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TX",
            "license": "864779",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "864779",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1058669",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "2021100078",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "864779",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CS00231176",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "864779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacquelyne.chumley@va.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5001 N Piedras St",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799304210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.