Individual provider Active NPI

Erin R Jeanes, FNP

  • Family Nurse Practitioner
  • Belton, TX
National Provider Identifier
1497110894
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129724 Issued in TX
Practice address
2851 N Main St
Suite1
Belton, TX 76513-1110
Phone
(254) 939-1844
Fax
(254) 939-1619
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 AP129724 TX Primary

Addresses

Primary practice location

2851 N Main St
Suite1
Belton, TX 76513-1110

Mailing address

2851 N Main St
Suite1
Belton, TX 76513-1110
Phone (254) 939-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711001569 TX Practitioner - Nurse Practitioner 9133411226 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services, Inc CurrentSince Jun 1, 2016 Accepting new patients
Bsa Amarillo Diagnostic Clinic Inc PastSince Jun 1, 2016 Accepting new patients

Locations

2851 N Main St
Ste 1
Belton, TX 76513
Phone (254) 457-3743

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

Interoperability endpoints

  • Direct secure messaging: erin.jeanes@190947594207236.direct.elationemr.com
  • Direct secure messaging: ejeanes265001@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1497110894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 N MAIN ST",
            "address_2": "SUITE1",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131110",
            "telephone_number": "254-939-1844",
            "fax_number": "254-939-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 N MAIN ST",
            "address_2": "SUITE1",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131110",
            "telephone_number": "254-939-1844",
            "fax_number": "254-939-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANES",
        "first_name": "ERIN",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.