Jacie Ross, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1152394 Issued in TX

Practice address

610 Strickland Dr Ste 340
Orange, TX 77630-4788

Phone

(409) 670-0044

Fax

(409) 750-7107

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon and Parker, LLPGroup PAC ID 3577690924, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gordon and Parker, LLP

  • Family Medicine Physician
  • Orange, TX
  • NPI 1992873368
  Medicare reassignment Care Compare group NPD
• Lakeland Radiologists LTD

  • Diagnostic Radiology Physician
  • Charleston, IL
  • NPI 1891782090
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1467216796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 HONEY BEAR DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776325309",
            "telephone_number": "409-548-1970",
            "fax_number": "409-670-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR STE 340",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304788",
            "telephone_number": "409-670-0044",
            "fax_number": "409-750-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JACIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Riedel, D.D.S.
• Micca R Riedel, ANP-C, GNP-BC
• Dane Craig Risinger, DDS
• Brandy Nicole Rizzato, AGNP
• Rosemary House of Orange, LLC
• Valen Elliott Ross, DDS
• Rudeseal Chiropractic Clinic, Inc.
• Ronald Wayne Rudeseal, DC
• William Martin Rutledge Jr., MD
• Samuel J. Pangburn, D.O., PA

• Family Nurse Practitioner in Orange, TX
• Providers in Orange, 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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.