Jason Sikes, APN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Beaumont, TX
NPI 1578076972 · NPPES record last updated Sep 16, 2019
Key facts
- NPI
- 1578076972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP135783 (TX)
- Practice address
- 3650 Laurel St
Beaumont, TX 77707-2216 - Phone
- (409) 838-0346
- Fax
- (409) 839-3720
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191029000482 | TX | Practitioner - Nurse Practitioner | 0547592354 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135783 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Jones M.D.,P.a. | Single Specialty | Current |
Accepting new patients |
| David R Jones M.D.,P.a. | Current |
Accepting new patients | |
| Beaumont Primary Healthcare, PLLC | Single Specialty | Current |
Accepting new patients |
| Beaumont Bone & Joint Institute, PA | Single Specialty | Current |
Accepting new patients |
Locations
3070 College St
Ste 406
Beaumont, TX 77701
Phone (409) 434-4735
3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346
3030 North St
Ste 310
Beaumont, TX 77702
Phone (248) 802-9174
3460 Dowlen Rd
Beaumont, TX 77706
Phone (409) 838-0346
6901 Medical Center Dr
Ste 240
Orange, TX 77630
6901 Medical Center Dr
Ste 230
Orange, TX 77630
Phone (409) 883-5300
2927 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 883-3744
2501 Jimmy Johnson Blvd
Ste 400
Port Arthur, TX 77640
Phone (409) 729-5633
Interoperability endpoints
- https://api.platform.athenahealth.com/14577/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | AP135783 | TX | Yes |
Addresses
Primary practice location
3650 Laurel St
Beaumont, TX 77707-2216
Mailing address
3650 Laurel St
Beaumont, TX 77707-2216
Phone (409) 838-0346
Other practice location 1
5755 Lexington Cir
Lumberton, TX 77657-5977
Phone (409) 454-3213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP1357836 | Other | TX | TEXAS BOARD OF NURSING |
Other providers in Beaumont, TX
- Shung-Man Kurt Lee Mdpa
- Hui Si
- Mohammad Sabahat Siddiqui
- Jennifer Ann Sigler
- Anna Marie Sigur
- Karen Elizabeth Siler
- Marco T Silva
- Ileana M Simien
- Corli Simmons
- Jennifer P Simmons
All providers in Beaumont, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.