Individual provider Active NPI

Jodi Ann Segel, RN FNP C

  • Family Nurse Practitioner
  • Smithville, TX
National Provider Identifier
1467574251
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
638421 Issued in TX
Practice address
1509 Dorothy Nichols LN Unit B
Smithville, TX 78957-1741
Phone
(833) 588-6967
Fax
(888) 486-6260
NPI assigned
Apr 4, 2007
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 638421 TX Primary

Addresses

Primary practice location

1509 Dorothy Nichols LN Unit B
Smithville, TX 78957-1741

Mailing address

1509 Dorothy Nichols LN Unit B
Smithville, TX 78957-1741
Phone (833) 588-6967

Other identifiers 2

IdentifierTypeStateIssuer
847N93OtherTXBCBS
191426902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Past Accepting new patients

Organizations & group practices 1

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1467574251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DOROTHY NICHOLS LN UNIT B",
            "city": "SMITHVILLE",
            "state": "TX",
            "postal_code": "789571741",
            "telephone_number": "833-588-6967",
            "fax_number": "888-486-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 DOROTHY NICHOLS LN UNIT B",
            "city": "SMITHVILLE",
            "state": "TX",
            "postal_code": "789571741",
            "telephone_number": "833-588-6967",
            "fax_number": "888-486-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGEL",
        "first_name": "JODI",
        "middle_name": "ANN",
        "credential": "RN FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "638421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "847N93",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191426902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TX

Sources for this page

Verify at the official NPI Registry.