Individual provider Active NPI

Jennifer Obelgoner Simpson, MSN, RN, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1518215433
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
729373 Issued in TX
Practice address
5603 FM 1960 Rd W
Houston, TX 77069-4219
Phone
(281) 397-4030
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 729373 TX
Family Nurse Practitioner 363LF0000X 729373 TX Primary

Addresses

Primary practice location

5603 FM 1960 Rd W
Houston, TX 77069-4219

Mailing address

5603 FM 1960 Rd W
Houston, TX 77069-4219
Phone (281) 397-4030

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
I20121010000487 TX Practitioner - Nurse Practitioner 6507015328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Mar 18, 2013 Accepting new patients
Cotton D. Feray, M.D., a Professional Association CurrentSince Mar 2, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Mar 18, 2013 Accepting new patients
Timberland Medical Group Family Past Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5603 FM 1960 Rd W
Houston, TX 77069
Phone (281) 397-4030

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

720 Lawrence St
Ste 100
Tomball, TX 77375
Phone (281) 351-5922

Organizations & group practices 4

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1518215433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694219",
            "telephone_number": "281-397-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694219",
            "telephone_number": "281-397-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JENNIFER",
        "middle_name": "OBELGONER",
        "credential": "MSN, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "729373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "729373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.