Individual provider Active NPI

Jessica Leigh Nelson, APRN

  • Family Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1548787492
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134857 Issued in TX
Practice address
12001 South Fwy Ste 304
Burleson, TX 76028-7215
Phone
(817) 565-3288
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 AP134857 TX Primary

Addresses

Primary practice location

12001 South Fwy Ste 304
Burleson, TX 76028-7215

Mailing address

12001 South Fwy Ste 304
Burleson, TX 76028-7215

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
I20180514002226 TX Practitioner - Nurse Practitioner 5092079350 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jircik Medical Group PLLCGroup PAC ID 7416387964, 5 clinicians

Practice addresses (Care Compare)

12001 S Fwy
Suite 304
Burleson, TX 76028-7215
Phone (817) 551-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134857TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southtown Psychiatry PLLC CurrentSince Jan 1, 2025 Accepting new patients
Jircik Medical Group, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Southtown Psychiatry PLLC CurrentSince Jul 1, 2024 Accepting new patients
Fort Worth Infectious Disease Consultants PLLC PastSince Feb 2, 2016 Accepting new patients

Locations

8402 Cross Park Dr
Austin, TX 78754
Phone (512) 215-3900

3340 Plaza 10 Dr
Beaumont, TX 77707
Phone (409) 835-0835

12001 South Fwy
Ste 304
Burleson, TX 76028
Phone (817) 551-5400

909 NE Loop 410
Ste 600
San Antonio, TX 78209
Phone (210) 460-0070

Interoperability endpoints

  • Direct secure messaging: jessica.nelson.1@15220.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16067/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1548787492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 304",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 304",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-565-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.