Individual provider Active NPI

Jacqualyn Sequeira Faigle, FNP

  • Family Nurse Practitioner
  • Brenham, TX
National Provider Identifier
1487262143
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144954 Issued in TX
Practice address
633 Medical Pkwy
Brenham, TX 77833-5412
Phone
(979) 830-1014
Fax
(979) 836-9103
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144954 UT
Family Nurse Practitioner 363LF0000X AP144954 TX Primary
Nurse Practitioner 363L00000X AP144954 TX

Addresses

Primary practice location

633 Medical Pkwy
Brenham, TX 77833-5412

Mailing address

PO Box 355
Burton, TX 77835-0355

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jacqualyn.Faigle@smmctx.org

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
I20200909000224 TX Practitioner - Nurse Practitioner 4082032057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan W Frieben MD PAGroup PAC ID 7416190640, 2 clinicians

Practice addresses (Care Compare)

633 Medical Pkwy
Brenham, TX 77833-5412
Phone (979) 830-1014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144954UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan W. Frieben, M.D., PA CurrentSince Jun 1, 2025 Accepting new patients
Interventional Spine and Pain Associates Brazos Valley PLLC CurrentSince Jul 9, 2024 Accepting new patients
Gary L. Appelt, MD,PA CurrentSince Jun 1, 2025 Accepting new patients
Brazos Spine PC CurrentSince Jul 9, 2024 Accepting new patients
DCS Medical PA CurrentSince Jun 1, 2023 Accepting new patients
DCS Medical PA CurrentSince Jun 1, 2023 Accepting new patients
St Davids Heart & Vascular, PLLC PastSince Aug 1, 2020 Accepting new patients

Locations

633 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1014

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3106 Texas Ave S
College Station, TX 77845
Phone (979) 557-2220

2122 Highway 71 S
Ste 203
Columbus, TX 78934
Phone (281) 980-1282

1 Saint Marks Pl
#110
La Grange, TX 78945
Phone (979) 242-2200

1 Saint Marks Pl
La Grange, TX 78945
Phone (979) 242-2102

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCHDD
  • Direct secure messaging: smmjfaigl@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCHDD/Endpoint/EDCHDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1487262143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "BURTON",
            "state": "TX",
            "postal_code": "778350355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335412",
            "telephone_number": "979-830-1014",
            "fax_number": "979-836-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIGLE",
        "first_name": "JACQUALYN",
        "middle_name": "SEQUEIRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "AP144954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144954",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jacqualyn.Faigle@smmctx.org",
            "affiliation": "N",
            "address_1": "1 Saint Marks Pl # 110",
            "city": "LA Grange",
            "state": "TX",
            "country_code": "US",
            "postal_code": "789451250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.