Individual provider Active NPI

Jelsa Antu, APRN-FNPC

  • Family Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1669128500
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1072593 Issued in TX
Practice address
Right Step Medical Center
11925 Southwest Fwy Suite #12
Stafford, TX 77477
Phone
(281) 741-9145
Fax
(713) 461-3518
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 1072593 TX Primary

Addresses

Primary practice location

Right Step Medical Center
11925 Southwest Fwy Suite #12
Stafford, TX 77477

Mailing address

7323 Ravenswood
Missouri City, TX 77459
Phone (832) 704-8317

Other names 1

  • Jelsa Menachery Antu Other name

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
I20220607002192 TX Practitioner - Nurse Practitioner 9133507924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11925 Southwest Fwy
Stafford, TX 77477-2300

11925 Southwest Fwy
Suite 12
Stafford, TX 77477

6414 Diamantina CT
Katy, TX 77493-7984

779 Normandy St
Suite 114
Houston, TX 77015-3441

9450 SW Gemini Dr
Pmb49084
Beaverton, OR 97008-7105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1072593TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Right Step Medical Center LLC CurrentSince Mar 11, 2022 Accepting new patients
JCD Associates LLC CurrentSince Mar 24, 2024 Accepting new patients
Normandy Urgent Care Center PA CurrentSince Mar 30, 2022 Accepting new patients
Normandy Urgent Care Center PA PastSince Mar 30, 2022 Accepting new patients

Locations

8312 Long Point Rd
Houston, TX 77055
Phone (713) 409-4343

779 Normandy St
Ste 114
Houston, TX 77015
Phone (713) 453-8900

16272 Imperial Valley Dr
Ste K
Houston, TX 77060
Phone (281) 405-6900

9504 Long Point Rd
Ste E
Houston, TX 77055
Phone (713) 461-3535

11925 Southwest Fwy
Stafford, TX 77477
Phone (281) 741-9145

11925 Southwest Fwy
Ste 12
Stafford, TX 77477
Phone (281) 741-9145

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1669128500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 RAVENSWOOD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "832-704-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIGHT STEP MEDICAL CENTER",
            "address_2": "11925 SOUTHWEST FWY SUITE #12",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "281-741-9145",
            "fax_number": "713-461-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTU",
        "first_name": "JELSA",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1072593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JELSA",
            "last_name": "MENACHERY ANTU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.