Individual provider Active NPI

Jill Ann Flury, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1639226285
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07211 Issued in TX
Practice address
1631 North Loop W
Suite 640
Houston, TX 77008-1528
Phone
(713) 426-3337
Fax
(713) 861-4093
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07211 TX Primary

Addresses

Primary practice location

1631 North Loop W
Suite 640
Houston, TX 77008-1528

Mailing address

1631 North Loop W
Suite 640
Houston, TX 77008-1528
Phone (713) 426-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110120000895 TX Practitioner - Physician Assistant 8325227598 Reassigns benefits to 3 organizations
I20251022005101 FL Practitioner - Physician Assistant 8325227598 Reassigns benefits to 1 organization
I20260318000857 WI Practitioner - Physician Assistant 8325227598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nurocoach Medical Group PLLCGroup PAC ID 3173991619, 11 clinicians
Headachemd Houston PLLCGroup PAC ID 5092140707, 4 clinicians

Practice addresses (Care Compare)

101 Southwestern Blvd
Suite 200
Sugar Land, TX 77478-3568
Phone (855) 954-6876

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (855) 954-6876

1433 N Water St
Floors 4 and 5 PMB 865
Milwaukee, WI 53202-2557
Phone (855) 954-6876

2410 Ella Blvd
Suite C
Houston, TX 77008-2721
Phone (713) 426-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07211TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gracious Minds Counseling and Supervision Inc. PastSince Sep 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nurocoach.jillflury@153052.advancedmd-direct.com

Organizations & group practices 4

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1639226285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W",
            "address_2": "SUITE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081528",
            "telephone_number": "713-426-3337",
            "fax_number": "713-861-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W",
            "address_2": "SUITE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081528",
            "telephone_number": "713-426-3337",
            "fax_number": "713-861-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLURY",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.