Individual provider Active NPI

Jasmine Virginia Lewis, APRN

  • Family Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1689358418
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230019 Issued in TX
Practice address
108 Chamber of Commerce Dr
Ennis, TX 75119-4346
Phone
(469) 442-4325
NPI assigned
Jun 12, 2023
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 F06230019 TX Primary

Addresses

Primary practice location

108 Chamber of Commerce Dr
Ennis, TX 75119-4346

Mailing address

108 Chamber of Commerce Dr
Ennis, TX 75119-4346
Phone (469) 442-4325

Other practice location 1

203 Wisteria Way
Red Oak, TX 75154-8884
Phone (318) 840-2264

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
I20241111001932 TX Practitioner - Nurse Practitioner 5698209872 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
Group practices
Total Point - Desoto LLCGroup PAC ID 0749679702, 27 clinicians

Practice addresses (Care Compare)

108 Chamber of Commerce Dr
Ennis, TX 75119-4346
Phone (469) 478-3285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06230019TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Point - Desoto LLC Family CurrentSince Aug 16, 2024 Accepting new patients

Locations

1601 Elm St
Ste 4210
Dallas, TX 75201

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1689358418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHAMBER OF COMMERCE DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194346",
            "telephone_number": "469-442-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHAMBER OF COMMERCE DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194346",
            "telephone_number": "469-442-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Wisteria Way",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751548884",
            "country_code": "US",
            "telephone_number": "318-840-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JASMINE",
        "middle_name": "VIRGINIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06230019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.