Individual provider Active NPI

Jasmine Evette Wilson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1821801416
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1189458 Issued in TX
Practice address
529 Arthurs Dr
Desoto, TX 75115-2954
Phone
(972) 898-2236
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1189458 TX Primary

Addresses

Primary practice location

529 Arthurs Dr
Desoto, TX 75115-2954

Mailing address

529 Arthurs Dr
Desoto, TX 75115-2954
Phone (972) 898-2236

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
I20250319001904 TX Practitioner - Nurse Practitioner 9931621901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

1015 N Carroll Ave
Suite 104
Dallas, TX 75204-6607
Phone (469) 442-3434

1534 N Hampton Rd
Suite C
Desoto, TX 75115-2505
Phone (817) 366-0950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1189458TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Texas, PLLC CurrentSince Dec 31, 2025 Accepting new patients
Beacon Mental and Wellness Center Limited Liability Company Psychiatric/Mental Health CurrentSince Jan 28, 2025 Accepting new patients
BSW Geode Clinicians of Texas PLLC Past Accepting new patients

Locations

11882 Greenville Ave
Ste B101
Dallas, TX 75243
Phone (469) 613-3011

1534 N Hampton Rd
Ste C
Desoto, TX 75115
Phone (469) 225-9850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1821801416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 ARTHURS DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152954",
            "telephone_number": "972-898-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 ARTHURS DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152954",
            "telephone_number": "972-898-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASMINE",
        "middle_name": "EVETTE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1189458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.