Individual provider Active NPI

Kyle Jordan Jones, FNP-C

  • Family Nurse Practitioner
  • Wake Village, TX
National Provider Identifier
1639620271
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132144 Issued in TX
Practice address
815 N Kings Hwy
Wake Village, TX 75501-5700
Phone
(903) 614-3700
Fax
(903) 832-7163
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 AP132144 TX Primary

Addresses

Primary practice location

815 N Kings Hwy
Wake Village, TX 75501-5700

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9701
Phone (903) 614-3000

Other practice location 1

2931 Richmond Rd Ste 200
Texarkana, TX 75503-2125
Phone (903) 614-0283

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
I20161128001055 TX Practitioner - Nurse Practitioner 8325327869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Collom and Carney Clinic AssociationGroup PAC ID 1355249541, 52 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

815 N King Hwy
Texarkana, TX 75501-5700
Phone (903) 614-3700

Hospital & facility affiliations

  • Onesource Home Care Inc Home health agency, Longview, TX, CCN 679138
  • Enhabit Home Health Home health agency, Longview, TX, CCN 679079
  • Encompass Health Home Health Home health agency, Texarkana, AR, CCN 047168
  • Little River Memorial Hospital Home Health Home health agency, Ashdown, AR, CCN 047139
  • Christus Homecare - St Michael Home health agency, Texarkana, TX, CCN 679372
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince May 1, 2026 Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2026 Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association CurrentSince Oct 21, 2016 Accepting new patients
Collom & Carney Clinic Association CurrentSince Oct 21, 2016 Accepting new patients
Exceed Health Clinic PastSince Feb 21, 2021 Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients
Trinity Clinic Past Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients

Locations

5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008

2931 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-3200

2931 Richmond Rd
Ste 200
Texarkana, TX 75503
Phone (903) 614-0283

815 N Kings Hwy
Wake Village, TX 75501
Phone (903) 614-3700

Interoperability endpoints

  • Direct secure messaging: kyle.jones.p1@direct.collom-carney.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/6966/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 8

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1639620271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039701",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N KINGS HWY",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015700",
            "telephone_number": "903-614-3700",
            "fax_number": "903-832-7163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 Richmond Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032125",
            "country_code": "US",
            "telephone_number": "903-614-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLE",
        "middle_name": "JORDAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Village, TX

Sources for this page

Verify at the official NPI Registry.