Jacquelene Mitchell Adiele, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J2678 Issued in TX

Practice address

3816 S Clear Creek Rd
Suite a
Killeen, TX 76549-4400

Phone

(254) 200-2748

Fax

(254) 200-2757

NPI assigned

Jul 21, 2006

Last updated

Dec 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, shared by 4 NPIs, 511 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Round Rock, TX, CCN 457661
• Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
• Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
• Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.adiele.1@29236.direct.athenahealth.com

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.

• Jacquelene Mitchell Adiele, MD, PA

  • Internal Medicine Physician
  • Killeen, TX
  • NPI 1306106687
  Medicare reassignment NPD Authorized official
• Ctems Inc

  • Family Medicine Physician
  • Killeen, TX
  • NPI 1205108032
  NPD (past)
• Stillhouse Emergency Physicians

  • Family Medicine Physician
  • Killeen, TX
  • NPI 1619060712
  NPD (past)
• William S Marsh III, DO, PA

  • Physical Medicine & Rehabilitation Physician
  • Killeen, TX
  • NPI 1063440014
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Killeen Health System LLC

  dba Seton Medical Center Harker Heights

  • General Acute Care Hospital
  • Harker Heights, TX
  • NPI 1841562709
  Care Compare affiliation
• Metroplex Adventist Hospital Inc

  dba AdventHealth Central Texas

  • General Acute Care Hospital
  • Killeen, TX
  • NPI 1629089966
  Care Compare affiliation
• Scott & White Memorial Hospital

  dba Baylor Scott & White Medical Center - Temple

  • General Acute Care Hospital
  • Temple, TX
  • NPI 1477516466
  Care Compare affiliation
• Scott & White Memorial Hospital

  dba Kings's Daughters Hospital- Scott & White Healthcare

  • General Acute Care Hospital
  • Temple, TX
  • NPI 1578502613
  Care Compare affiliation
• Texas Home Healthcare Partners, LP

  dba Elara Caring

  • Home Health Agency
  • Round Rock, TX
  • NPI 1174569628
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1609896497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765400938",
            "telephone_number": "254-634-6999",
            "fax_number": "254-200-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S CLEAR CREEK RD",
            "address_2": "SUITE A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "254-200-2748",
            "fax_number": "254-200-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIELE",
        "first_name": "JACQUELENE",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Dionne Adams
• Courtney Adams
• Yadhira Charlett Adams, M.S. LPC-A
• Mary-Catherine Kellam Addison-McQuitty, OTR, OTD
• Kwame Addo
• Ahadu Lakew Admassie, MD
• Adolescent & Family Counseling Center, Inc.
• Adonaijah Support Services LLC
• Neko N Adorka
• Adult Child and Family Counseling Center

• Internal Medicine Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.

Verify at the official NPI Registry.