Active NPI
Jennifer M Bliss, M.D.
- Obstetrics & Gynecology Physician
- Marble Falls, TX
National Provider Identifier
1801182415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q4037
- Practice address
- 800 W Highway 71
Marble Falls, TX 78654-8606 - Phone
- (830) 201-7100
- NPI assigned
- Jun 22, 2011
- Last updated
- May 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 173303 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | Q4037 | TX | Primary |
Addresses
Primary practice location
800 W Highway 71
Marble Falls, TX 78654-8606
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice location 1
23920 Katy Fwy
Suite 440
Katy, TX 77494-1341
Phone (281) 392-2266
Other practice location 2
23920 Katy Fwy
Suite 440
Katy, TX 77494
Phone (281) 392-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 19, 2023 through Jan 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173303 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | Accepting new patients | |
| Seton Family of Doctors | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1801182415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W HIGHWAY 71",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786548606",
"telephone_number": "830-201-7100"
}
],
"practiceLocations": [
{
"address_1": "23920 Katy Fwy",
"address_2": "Suite 440",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774941341",
"country_code": "US",
"telephone_number": "281-392-2266",
"fax_number": "281-392-3147",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23920 Katy Fwy",
"address_2": "Suite 440",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "77494",
"country_code": "US",
"telephone_number": "281-392-2266",
"fax_number": "281-392-3147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLISS",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "173303",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q4037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.