Individual provider Active NPI

Jasmine Milledge, FNP-C

  • Family Nurse Practitioner
  • Harker Heights, TX
National Provider Identifier
1831847631
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1070049 Issued in TX
Practice address
880 Prospector TRL Ste 200
Harker Heights, TX 76548-2700
Phone
(254) 519-8922
NPI assigned
Mar 11, 2022
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1070049 TX Primary

Addresses

Primary practice location

880 Prospector TRL Ste 200
Harker Heights, TX 76548-2700

Mailing address

2118 Wigeon Way
Copperas Cove, TX 76522-7998
Phone (580) 678-1592

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
I20220420002484 TX Practitioner - Nurse Practitioner 4789071853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Rheumatology and Wellness PLLCGroup PAC ID 6002252038, 4 clinicians

Practice addresses (Care Compare)

106 Plaza Dr
Red Oak, TX 75154-3981

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1070049TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Rheumatology and Wellness PLLC CurrentSince Jan 21, 2025 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Family Medicine Past Accepting new patients

Locations

106 Plaza Dr
Red Oak, TX 75154
Phone (469) 552-6630

106 Plaza Dr
Ste B
Red Oak, TX 75154
Phone (469) 552-6630

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBAFDD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1831847631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 WIGEON WAY",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227998",
            "telephone_number": "580-678-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 200",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-519-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEDGE",
        "first_name": "JASMINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1070049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.