Individual provider Active NPI

Jacqueline Marie Carrejo, APRN-CNP

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1679251300
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1131337 Issued in TX
Practice address
3243 Southmost Rd
Brownsville, TX 78521-4857
Phone
(956) 551-4634
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 1131337 TX
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 1131337 TX
Family Nurse Practitioner 363LF0000X 1131337 TX Primary
Acute Care Nurse Practitioner 363LA2100X 1131337 TX
Registered Nurse 163W00000X 780173 TX

Addresses

Primary practice location

3243 Southmost Rd
Brownsville, TX 78521-4857

Mailing address

3243 Southmost Rd
Brownsville, TX 78521-4857
Phone (956) 551-4634

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
I20231208001386 TX Practitioner - Nurse Practitioner 0042669509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3243 Southmost Rd
Brownsville, TX 78521-4857
Phone (956) 556-0508

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
780173TXMDRegistered Nurse
1131337TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Family Night Clinic Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients

Locations

3243 Southmost Rd
Brownsville, TX 78521
Phone (956) 545-0818

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJBCDD/Endpoint/DJBCDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1679251300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 SOUTHMOST RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214857",
            "telephone_number": "956-551-4634",
            "fax_number": "888-571-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 SOUTHMOST RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214857",
            "telephone_number": "956-551-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREJO",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1131337",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "1131337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1131337",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1131337",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "780173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.