Jeanine Marie Malone, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

629593 Issued in TX

Practice address

3023 Perryton Pkwy
Suite 101
Pampa, TX 79065-2821

Phone

(806) 688-8800

Fax

(806) 688-1176

NPI assigned

Apr 21, 2014

Reactivated

Jul 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

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

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.

• Hemphill County Hospital District

  • Rural Health Clinic/Center
  • Canadian, TX
  • NPI 1720404924
  Medicare reassignment
• Canadian Family Physicians, PLLC

  • Case Manager/Care Coordinator
  • Canadian, TX
  • NPI 1689806523
  NPD
• Hemphill County Hospital District

  • Skilled Nursing Facility
  • Amarillo, TX
  • NPI 1518357680
  NPD (past)

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1841610573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LEA ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653230",
            "telephone_number": "806-688-8800",
            "fax_number": "806-688-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY",
            "address_2": "SUITE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652821",
            "telephone_number": "806-688-8800",
            "fax_number": "806-688-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JEANINE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2024-07-17",
        "deactivation_date": "2024-07-03",
        "reactivation_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "629593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Haney, O.D., P.a.
• Lukner Medical Clinic PLLC
• Ralf B Lukner, MD, PHD
• Tammy Lynn Mabry
• Patricia Ann Mahoney, MD
• Ramie N Malone, NP
• Kayla Marie Marano, LPC ASSOCIATE
• Graciela Marin, AAS
• Mark W. Ford, Jr., D.C., P.C.
• Malia Martinez, M.S., CCC-SLP

• Family Nurse Practitioner in Pampa, TX
• Providers in Pampa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.