Active NPI
Jessica Joline Kvasnicka, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1111563
- Practice address
- 3195 Dowlen Rd Ste 101-524
Beaumont, TX 77706-7271 - Phone
- (432) 978-7612
- NPI assigned
- Feb 13, 2023
- Last updated
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1111563 | TX | Primary |
| Registered Nurse | 163W00000X | 763704 | TX |
Addresses
Primary practice location
3195 Dowlen Rd Ste 101-524
Beaumont, TX 77706-7271
Mailing address
10008 Pilot Ave
Midland, TX 79706-2615
Phone (432) 978-7612
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3560 Delaware St
Suite 502
Beaumont, TX 77706-3061
Phone 4092321500217
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111563 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Health and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Winnie Community Hospital LLC | Current | Accepting new patients | |
| Winnie Community Hospital, L.L.C. | Current | Accepting new patients | |
| The Samaritan Counseling Center of West Texas Inc | Past | Accepting new patients |
Locations
3195 Dowlen Rd
Ste 101524
Beaumont, TX 77706
Phone (432) 978-7612
3560 Delaware St
Ste 502
Beaumont, TX 77706
Phone (409) 899-4472
2400 Highway 365
Ste 112
Nederland, TX 77627
Phone (409) 284-9717
538 Broadway
Winnie, TX 77665
Phone (409) 296-6000
Organizations & group practices 4
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.
-
dba Winnie Community Clinic
- Emergency Medicine Physician
- Winnie, TX
- NPI 1548395213
-
- Psychiatric/Mental Health Nurse Practitioner
- Lumberton, TX
- NPI 1164381364
-
dba Riceland Pain Clinic
- Interventional Pain Medicine Physician
- Nederland, TX
- NPI 1316623481
-
- Public Health or Welfare Agency
- Midland, TX
- NPI 1306881792
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Winnie, TX
- NPI 1295781227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1861199531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10008 PILOT AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062615",
"telephone_number": "432-978-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 DOWLEN RD STE 101-524",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067271",
"telephone_number": "432-978-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVASNICKA",
"first_name": "JESSICA",
"middle_name": "JOLINE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1111563",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "763704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.