Organization Active NPI

JM Wellness & Aesthetics LLC

  • Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1730921883
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
JM WELLNESS & AESTHETICS LLC
Practice address
835 SW Alsbury Blvd Unit M
Burleson, TX 76028-4094
Phone
(817) 439-9081
Fax
(817) 439-9082
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Misty R StasneyNPI 1629590534
Title
Owner
Phone
(817) 439-9081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

835 SW Alsbury Blvd Unit M
Burleson, TX 76028-4094

Mailing address

835 SW Alsbury Blvd Unit M
Burleson, TX 76028-4094
Phone (817) 439-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240618004025 TX Part B Supplier - Clinic/Group Practice 3577006550 Receives reassigned benefits from 1 practitioner
Practice locations: Burleson, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2188416JM Wellness & Aesthetics835 SW Alsbury Suite M, Burleson, TX 76028Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Locations

835 SW Alsbury Blvd
Unit M
Burleson, TX 76028
Phone (817) 439-9081

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1730921883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SW ALSBURY BLVD UNIT M",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284094",
            "telephone_number": "817-439-9081",
            "fax_number": "817-439-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SW ALSBURY BLVD UNIT M",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284094",
            "telephone_number": "817-439-9081",
            "fax_number": "817-439-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM WELLNESS & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "STASNEY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-439-9081"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.