Individual provider Active NPI

Jessica Anderson, FNP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1548614340
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045738 Issued in TX
Practice address
2200 E Broad St Ste 100
Mansfield, TX 76063-6597
Phone
(817) 473-9473
Fax
(817) 473-3473
NPI assigned
Apr 18, 2016
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 1045738 TX Primary

Addresses

Primary practice location

2200 E Broad St Ste 100
Mansfield, TX 76063-6597

Mailing address

2200 E Broad St Ste 100
Mansfield, TX 76063-6597
Phone (817) 473-9473

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
I20211012003071 TX Practitioner - Nurse Practitioner 5799077475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Urgent Care, P.a.Group PAC ID 2163695107, 8 clinicians

Practice addresses (Care Compare)

1805 N Collins St
Suite 101
Arlington, TX 76011-4307
Phone (682) 204-0042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Urgent Care, P.a. CurrentSince Oct 18, 2021 Accepting new patients
North Texas Urgent Care, P.a. CurrentSince Oct 18, 2021 Accepting new patients

Locations

1805 N Collins St
Ste 101
Arlington, TX 76011
Phone (682) 204-0042

7367 N Beach St
Ft Worth, TX 76137
Phone (682) 204-0042

2200 E Broad St
Ste 100
Mansfield, TX 76063
Phone (817) 473-9473

980 N Walnut Creek Dr
Ste 100
Mansfield, TX 76063
Phone (817) 453-5437

1669 S 9th St
Ste 100
Midlothian, TX 76065
Phone (817) 473-9473

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1548614340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E BROAD ST STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636597",
            "telephone_number": "817-473-9473",
            "fax_number": "817-473-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E BROAD ST STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636597",
            "telephone_number": "817-473-9473",
            "fax_number": "817-473-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.