Individual provider Active NPI

Brittany Jackson, APRN

  • Nurse Practitioner
  • Aubrey, TX
National Provider Identifier
1649964123
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1113586 Issued in TX
Practice address
11500 Silver Queen Dr
Aubrey, TX 76227-1370
Phone
(469) 515-3338
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1113586 TX Primary

Addresses

Primary practice location

11500 Silver Queen Dr
Aubrey, TX 76227-1370

Mailing address

2321 Olympia Dr Ste 100
Flower Mound, TX 75028-1856
Phone (972) 350-0225

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
I20230927003743 TX Practitioner - Nurse Practitioner 7214381011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113586TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Aug 20, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC Nurse Practitioner CurrentSince Jun 18, 2025 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jun 18, 2025 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Aug 20, 2023 Accepting new patients

Locations

1601 W Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 426-8675

2321 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 350-0225

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

Interoperability endpoints

  • Direct secure messaging: brittany.jackson@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1649964123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 OLYMPIA DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281856",
            "telephone_number": "972-350-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 SILVER QUEEN DR",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271370",
            "telephone_number": "469-515-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRITTANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1113586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

Verify at the official NPI Registry.