Individual provider Active NPI

Jamie Nicole Leblanc, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1851902993
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1003349 Issued in TX
Practice address
4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159
Phone
(409) 767-9285
Fax
(409) 332-4104
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 1003349 TX Primary

Addresses

Primary practice location

4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159

Mailing address

4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159
Phone (409) 767-9285

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jamieleblanc@primarycare.com

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
I20201116000528 TX Practitioner - Nurse Practitioner 9638580038 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Anywhere, PLLC Family CurrentSince Oct 3, 2020 Accepting new patients
Pca Setx LLC PastSince Jun 3, 2025 Accepting new patients

Locations

4347 Phelan Blvd
Ste 101
Beaumont, TX 77707
Phone (409) 767-8686

Interoperability endpoints

  • Direct secure messaging: jamieleblanc@primarycare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1851902993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-767-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-767-9285",
            "fax_number": "409-332-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jamieleblanc@primarycare.com",
            "affiliation": "N",
            "address_1": "4347 Phelan Blvd Ste 101",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777072159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.