Individual provider Active NPI

Jana Tristan, NP

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1467823831
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129171 Issued in TX
Practice address
1901 Medi Park Dr Ste 2002
Amarillo, TX 79106-2108
Phone
(806) 353-4699
Fax
(806) 353-4551
NPI assigned
Oct 12, 2015
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129171 TX
Nurse Practitioner 363L00000X AP129171 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2002
Amarillo, TX 79106-2108

Mailing address

1901 Medi Park Dr Ste 2036
Amarillo, TX 79106-2109
Phone (806) 468-4625

Other practice location 1

One Medical Plaza
Pampa, TX 79065
Phone (806) 688-8800

Other identifiers 1

IdentifierTypeStateIssuer
358670306MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002506 TX Practitioner - Nurse Practitioner 8123322120 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

1311 E Gen Cvazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129171TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Nurse Practitioner CurrentSince May 16, 2025 Accepting new patients
Mark Malone MD PA Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Amarillo Family Care Clinic PLLC Family PastSince Nov 1, 2018 Accepting new patients

Locations (25 of 31)

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

2744 W University Dr
Edinburg, TX 78539
Phone (956) 380-8080

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

6191 E Sam Houston Pkwy N
Houston, TX 77049
Phone (281) 454-2600

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

5100 W Expressway 83
McAllen, TX 78501
Phone (956) 928-7200

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

1702 US Highway 181
Portland, TX 78374
Phone (361) 761-2273

400 Enterprise Blvd
Rockport, TX 78382
Phone (361) 500-1853

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

Interoperability endpoints

  • Direct secure messaging: jtristan595109@christushealth.direct-ci.net

Organizations & group practices 8

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 2

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1467823831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2036",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "806-468-4625",
            "fax_number": "806-468-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2002",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062108",
            "telephone_number": "806-353-4699",
            "fax_number": "806-353-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Plaza",
            "address_purpose": "LOCATION",
            "city": "Pampa",
            "state": "TX",
            "postal_code": "79065",
            "country_code": "US",
            "telephone_number": "806-688-8800",
            "fax_number": "806-688-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRISTAN",
        "first_name": "JANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129171",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358670306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.