Active NPI
Edward Jason Jones, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Ennis, TX
National Provider Identifier
1679073787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1107091
- Practice address
- 206 S Clay St Ste a
Ennis, TX 75119-4530 - Phone
- (903) 229-4292
- Fax
- (903) 229-4288
- NPI assigned
- Feb 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 785676 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1107091 | TX | Primary |
Addresses
Primary practice location
206 S Clay St Ste a
Ennis, TX 75119-4530
Mailing address
206 S Clay St Ste a
Ennis, TX 75119-4530
Phone (903) 229-4292
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.93 of 100
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 785676 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSGF Medical | Current | Accepting new patients | |
| Davey M Perrin M.D. | Current | Accepting new patients | |
| Premier Healthcare Services Texas LLC | Past | Accepting new patients |
Locations
3600 Matlock Rd
Ste 100
Arlington, TX 76015
Phone (817) 465-8855
301 Hospital Dr
Ste 190A
Corsicana, TX 75110
Phone (903) 229-4292
206 S Clay St
Ennis, TX 75119
Phone (903) 229-4292
206 S Clay St
Ste A
Ennis, TX 75119
Phone (903) 229-4292
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.
-
- Family Medicine Physician
- Ennis, TX
- NPI 1043443054
-
- Family Medicine Physician
- Ennis, TX
- NPI 1568323756
-
- Home Health Agency
- San Antonio, TX
- NPI 1821500166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1679073787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S CLAY ST STE A",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194530",
"telephone_number": "903-229-4292",
"fax_number": "972-875-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S CLAY ST STE A",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194530",
"telephone_number": "903-229-4292",
"fax_number": "903-229-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "EDWARD",
"middle_name": "JASON",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-15",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "785676",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1107091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.