Individual provider Active NPI

Edward Jason Jones, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1679073787
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1107091 Issued in TX
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

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301001505 TX Practitioner - Nurse Practitioner 7012380686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.93 of 100Reported as group
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

LicenseStateTypeSpecialty
785676TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
HSGF Medical CurrentSince Nov 24, 2025 Accepting new patients
Davey M Perrin M.D. CurrentSince Apr 13, 2024 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.

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

Verify at the official NPI Registry.