Active NPI
Jeralynne R Cecilio, NP
- Adult Health Nurse Practitioner
- Plano, TX
National Provider Identifier
1578832002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP125601
- Practice address
- 6200 W Parker Rd
Plano, TX 75093-8185 - Phone
- (972) 293-5151
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209008153 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | AP125601 | TX | Primary |
Addresses
Primary practice location
6200 W Parker Rd
Plano, TX 75093-8185
Mailing address
6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 293-5151
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150216001795 | TX | Practitioner - Nurse Practitioner | 7517102718 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.54 of 100
- Quality
- 72.94
- Improvement activities
- 40
- Cost
- 48.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125601 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Management Associates | Current | Accepting new patients | |
| M & F Medical Services, LTD | Past | Accepting new patients |
Locations
4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
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 and National Provider Directory roles.
-
- Adult Medicine Physician
- Chicago, IL
- NPI 1447666318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1578832002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750938185",
"telephone_number": "972-293-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750938185",
"telephone_number": "972-293-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECILIO",
"first_name": "JERALYNNE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209008153",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP125601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.