Individual provider Active NPI

Jennifer Ann Christian, APRN, FNP-C

  • Nurse Practitioner
  • Paris, TX
National Provider Identifier
1649896580
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1003235 Issued in TX
Practice address
865 Deshong Dr
Paris, TX 75460-9313
Phone
(903) 785-4521
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104909 OK
Nurse Practitioner 363L00000X 1003235 TX Primary

Addresses

Primary practice location

865 Deshong Dr
Paris, TX 75460-9313

Mailing address

120 N Section Line Rd
Valliant, OK 74764-9789
Phone (580) 579-8453

Other practice location 1

800 N Park Dr
Broken Bow, OK 74728-2146
Phone (580) 584-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200915003241 OK Practitioner - Nurse Practitioner 6709204290 Reassigns benefits to 1 organization
I20200923000747 TX Practitioner - Nurse Practitioner 6709204290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCurtain Family Medical ClinicGroup PAC ID 3476651514, 3 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Practice addresses (Care Compare)

800 N Park Dr
Broken Bow, OK 74728-2146
Phone (580) 584-7210

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 785-4521

Hospital & facility affiliations

  • Mays Housecall Home Health of South East Ok, LLC Home health agency, Idabel, OK, CCN 377169
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104909OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
McCurtain Family Medical Clinic CurrentSince Aug 10, 2020 Accepting new patients

Locations

800 N Park Dr
Broken Bow, OK 74728
Phone (580) 584-7210

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

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 3

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1649896580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N SECTION LINE RD",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747649789",
            "telephone_number": "580-579-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609313",
            "telephone_number": "903-785-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Park Dr",
            "address_purpose": "LOCATION",
            "city": "Broken Bow",
            "state": "OK",
            "postal_code": "747282146",
            "country_code": "US",
            "telephone_number": "580-584-7210",
            "fax_number": "580-584-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "104909",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1003235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.