Jackie Vance, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1071738 Issued in TX

Practice address

1003 McCormick CV
Hutto, TX 78634-2091

Phone

(847) 525-5821

NPI assigned

Feb 16, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

53.49 of 100Reported as group

Quality

45.59

Promoting interoperability

0

Improvement activities

40

Cost

77.2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1467107607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MCCORMICK CV",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786342091",
            "telephone_number": "847-525-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MCCORMICK CV",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786342091",
            "telephone_number": "847-525-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JACKIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071738",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "2021185858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Tyson
• Uzoma Umez, PHARM D
• Luana Vaimagalo, LMFT
• Rebecca M Valek
• Himabindu Anand Valmiki, M.D
• Danielle Veiga
• Yulia Vela-Cadena, LPC
• Kaitlin Villanueva
• Walgreen Co. (Walgreens #11566)
• Matthew Stephen Ward, RN

• Family Nurse Practitioner in Hutto, TX
• Providers in Hutto, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.