Individual provider Active NPI

Tessy M. John

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1619583531
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1007357 Issued in TX
Practice address
4401 Coit Rd Ste 303
Frisco, TX 75035-0508
Phone
(469) 850-6139
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 1007357 TX Primary

Addresses

Primary practice location

4401 Coit Rd Ste 303
Frisco, TX 75035-0508

Mailing address

1600 Waters Ridge Drive, Ste a
Frisco, TX 75035
Phone (469) 850-6139

Other practice location 1

6300 W Parker Rd Ste 224
Plano, TX 75093-8102
Phone (469) 574-0464

Other practice location 2

1600 Waters Ridge Drive, Ste A
Frisco, TX 75035
Phone (469) 850-6139

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
I20210301000176 TX Practitioner - Nurse Practitioner 3274948153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1600 Waters Ridge Dr a
Ntkda Lewisville
Lewisville, TX 75057-6039
Phone (972) 219-0558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
78.39
Promoting interoperability
100
Improvement activities
40
Cost
77.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Kidney Disease Associates CurrentSince Nov 12, 2020 Accepting new patients
North Texas Kidney Disease Associates CurrentSince Nov 12, 2020 Accepting new patients

Locations

4333 N Josey Ln
Ste 103
Carrollton, TX 75010
Phone (972) 378-0043

6190 Lyndon B Johnson Fwy
Ste 702
Dallas, TX 75240

3315 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (940) 320-1708

10700 Victoria Ash Dr
Fort Worth, TX 76244
Phone (817) 283-5166

4401 Coit Rd
Ste 303
Frisco, TX 75035
Phone (214) 469-0022

13136 Dallas Pkwy
Ste 530
Frisco, TX 75033
Phone (469) 574-0464

1600 Waters Ridge Dr
Ste A
Lewisville, TX 75057
Phone (940) 320-1708

6331 Boulevard 26
Ste 220
North Richland Hills, TX 76180
Phone (817) 628-0284

6300 W Parker Rd
Ste 224
Plano, TX 75093
Phone (469) 574-0464

1600 Coit Rd
Ste 300
Plano, TX 75075
Phone (972) 295-9660

Interoperability endpoints

  • Direct secure messaging: tessy.john.1@23918.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1619583531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DRIVE, STE A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-850-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD STE 303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350508",
            "telephone_number": "469-850-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 W Parker Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938102",
            "country_code": "US",
            "telephone_number": "469-574-0464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Waters Ridge Drive, Ste A",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "469-850-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "TESSY",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.