Individual provider Active NPI

Jonathan Garcellano, FNP-C

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1659955433
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030683 Issued in TX
Practice address
5947 Turkey CRK
Missouri City, TX 77459-6942
Phone
(832) 877-1954
NPI assigned
May 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1030683 TX Primary

Addresses

Primary practice location

5947 Turkey CRK
Missouri City, TX 77459-6942

Mailing address

5947 Turkey CRK
Missouri City, TX 77459-6942
Phone (832) 877-1954

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
I20230426001906 TX Practitioner - Nurse Practitioner 9830595081 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1030683TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Medic LLC Single Specialty CurrentSince Nov 27, 2023 Accepting new patients
Healthbridge Corporation Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Americare Medical Partners, PLLC Single Specialty Past Accepting new patients

Locations

2743 Smith Ranch Rd
Pearland, TX 77584
Phone (281) 215-3985

4205 Broadway St
Ste 221
Pearland, TX 77581
Phone (346) 491-8168

2435 N Central Expy
Ste 805
Richardson, TX 75080
Phone (469) 453-1423

Organizations & group practices 3

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1659955433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 TURKEY CRK",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596942",
            "telephone_number": "832-877-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5947 TURKEY CRK",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596942",
            "telephone_number": "832-877-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCELLANO",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.