Individual provider Active NPI

Jessica Lee Whitis, MSN APRN AGACNP-BC

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1538636444
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP139538 Issued in TX
Practice address
1600 Coit Rd Ste 104
Plano, TX 75075-6171
Phone
(972) 566-5411
Fax
(972) 519-8337
NPI assigned
Oct 29, 2018
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP139538 TX Primary

Addresses

Primary practice location

1600 Coit Rd Ste 104
Plano, TX 75075-6171

Mailing address

1822 Watermark LN
Wylie, TX 75098-6419
Phone (972) 965-2501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JESSICA.WHITIS@hca7.eclinicaldirectplus.com

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
I20190611003155 TX Practitioner - Nurse Practitioner 1658604392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Stroke Center, PLLCGroup PAC ID 6709927528, 15 clinicians

Practice addresses (Care Compare)

1600 Coit Rd
Suite 104
Plano, TX 75075-6171
Phone (972) 566-5411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Stroke Center, PLLC CurrentSince Feb 28, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

1600 Coit Rd
Ste 104
Plano, TX 75075
Phone (972) 566-5564

Interoperability endpoints

  • Direct secure messaging: jessica.whitis@hca7.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1538636444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 WATERMARK LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986419",
            "telephone_number": "972-965-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756171",
            "telephone_number": "972-566-5411",
            "fax_number": "972-519-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITIS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "MSN APRN AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP139538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JESSICA.WHITIS@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1600 Coit Rd Ste 104",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750756171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.