Individual provider Active NPI

Loretta A Jones, FNP

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1669553582
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252986 Issued in TX
Practice address
1367 Dominion PLZ
Tyler, TX 75703-1013
Phone
(903) 534-6200
Fax
(903) 939-0755
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 252986 TX Primary

Addresses

Primary practice location

1367 Dominion PLZ
Tyler, TX 75703-1013

Mailing address

1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200

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
I20080411000197 TX Practitioner - Nurse Practitioner 3678659893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Rowe MD PAGroup PAC ID 7416381546, 7 clinicians

Practice addresses (Care Compare)

101 Posey Ave
Clifton, TX 76634-1289
Phone (254) 265-7100

10201
Suite 16
Comanche, TX 76442
Phone (254) 265-7100

6612 Woodway Dr
BLDG a Suite 2
Waco, TX 76712-6143
Phone (254) 265-7100

764 W Commerce St
Fairfield, TX 75840-1428
Phone (254) 265-7100

Merit-based Incentive Payment System (MIPS)

Final score
60.98 of 100Reported as group
Quality
80.71
Promoting interoperability
0
Improvement activities
40
Cost
72.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. CurrentSince Sep 14, 2015 Accepting new patients
Russell Rowe, MD, PA CurrentSince Nov 15, 2020 Accepting new patients
Craig D. Urban, MD PA PastSince Jan 1, 2008 Accepting new patients

Locations

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

1507 W Main St
Bldg 1
Gatesville, TX 76528

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

6612 Woodway Dr
Bldg A
Woodway, TX 76712

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669553582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 DOMINION PLZ",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031013",
            "telephone_number": "903-534-6200",
            "fax_number": "903-939-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 DOMINION PLZ",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031013",
            "telephone_number": "903-534-6200",
            "fax_number": "903-939-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LORETTA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "252986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.