Individual provider Active NPI

Jenny Saberola Siller

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1487279576
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145383 Issued in TX
Practice address
6620 Main St Ste 1450
Houston, TX 77030-2346
Phone
(832) 355-1400
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP145383 TX Primary

Addresses

Primary practice location

6620 Main St Ste 1450
Houston, TX 77030-2346

Mailing address

2424 Capitol St Apt 1314
Houston, TX 77003-3164

Other identifiers 1

IdentifierTypeStateIssuer
2019079619OtherTXANCC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsaberola43575@bcm.ghhdirect.net

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
I20200623001950 TX Practitioner - Nurse Practitioner 6305268210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

Hospital & facility affiliations

  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145383TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Surgery CurrentSince Jun 1, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2020 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

6620 Main St
Ste 1450
Houston, TX 77030
Phone (713) 798-7500

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1487279576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 CAPITOL ST APT 1314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770033164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST STE 1450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302346",
            "telephone_number": "832-355-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLER",
        "first_name": "JENNY",
        "middle_name": "SABEROLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2019079619",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsaberola43575@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "6620 Main St Ste 1450",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770302346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.