Individual provider Active NPI

Joshua Alan Olmstead, FNP-C

  • Family Nurse Practitioner
  • Winnie, TX
National Provider Identifier
1508619404
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1157635 Issued in TX
Practice address
538 Broadway
Winnie, TX 77665-7600
Phone
(409) 296-6000
NPI assigned
Apr 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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 1157635 TX Primary

Addresses

Primary practice location

538 Broadway
Winnie, TX 77665-7600

Mailing address

11 Dana St
Lumberton, TX 77657-6304
Phone (409) 658-0503

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
I20240909000982 TX Practitioner - Nurse Practitioner 5799225546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Riceland Medical Center Hospital, Winnie, TX, CCN 451328

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Physicians, PLLC CurrentSince Jul 15, 2024 Accepting new patients
Jasper Emergency Physicians, PLLC CurrentSince Oct 12, 2024 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6901 Medical Center Dr
Orange, TX 77630
Phone (281) 417-5003

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

Organizations & group practices 3

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 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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1508619404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DANA ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776576304",
            "telephone_number": "409-658-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "JOSHUA",
        "middle_name": "ALAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1157635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnie, TX

Sources for this page

Verify at the official NPI Registry.