Individual provider Active NPI

Jamie A Plubell, D.O.

  • Emergency Medicine Physician
  • Coppell, TX
National Provider Identifier
1740331339
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-33485 Issued in KS
Practice address
330 S Denton Tap Rd
Coppell, TX 75019-3207
Phone
(469) 312-7777
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-33485 KS Primary

Addresses

Primary practice location

330 S Denton Tap Rd
Coppell, TX 75019-3207

Mailing address

15768 Shasta Daisy Rd
Frisco, TX 75035-1480
Phone (469) 312-7777

Other names 1

  • Jamie A Plubell Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211000490 TX Practitioner - Emergency Medicine 1658425616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-33485KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Urgent Care, PA CurrentSince Nov 1, 2017 Accepting new patients
Frisco Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 11, 2026 Accepting new patients
Nall Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

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, 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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1740331339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15768 SHASTA DAISY RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351480",
            "telephone_number": "469-312-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193207",
            "telephone_number": "469-312-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUBELL",
        "first_name": "JAMIE",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2021-12-09",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-33485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PLUBELL",
            "middle_name": "A",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.