Jacqueline Belk, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Cisco, TX
NPI 1821487604 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1821487604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP127254 (TX)
- Practice address
- 707 Conrad Hilton Blvd
Cisco, TX 76437-3139 - Phone
- (254) 761-5909
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
707 Conrad Hilton Blvd
Cisco, TX 76437-3139
Phone (254) 761-5909
Hospital & facility affiliations
- Eastland Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615000813 | TX | Practitioner - Nurse Practitioner | 1456662642 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Family Health, PLLC | Family | Current |
Accepting new patients |
Locations
707 Conrad Hilton Blvd
Cisco, TX 76437
Phone (254) 488-4865
Interoperability endpoints
- jfbelk@afhp-tx1.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP127254 | TX | Yes |
Addresses
Primary practice location
707 Conrad Hilton Blvd
Cisco, TX 76437-3139
Mailing address
707 Conrad Hilton Blvd
Cisco, TX 76437-3139
Phone (254) 488-4865
Other providers in Cisco, TX
- Affinity Family Health, PLLC
- Geodette Sirri Atanga
- Big Country Airway Sleep and Dental Solutions PLLC
- Deanna Lynn Black
- Brookshire Grocery Company
- Ana Rosa Carrillo
- Cisco Chiropractic LLC
All providers in Cisco, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.