Individual provider Active NPI

Josiane Octavius, FNP-BC

  • Family Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1861938607
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105684 Issued in TX
Practice address
1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293
Phone
(877) 868-2528
Fax
(877) 926-5332
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 1105684 TX Primary

Addresses

Primary practice location

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293

Mailing address

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293

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
I20241122001846 TX Practitioner - Nurse Practitioner 8426583782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care 2 U, LLCGroup PAC ID 7012344807, 29 clinicians

Practice addresses (Care Compare)

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293
Phone (877) 868-2528

Hospital & facility affiliations

  • Assured Care Health Services LLC Home health agency, Sugar Land, TX, CCN 679073
  • Accentcare Home Health of Houston - South, LLC Home health agency, Sugar Land, TX, CCN 679102
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1105684TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care 2 U, LLC CurrentSince Nov 4, 2024 Accepting new patients
Gateway Healthcare Inc PastSince Jul 1, 2005 Accepting new patients

Locations

1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1861938607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LEGACY RANCH RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LEGACY RANCH RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "877-868-2528",
            "fax_number": "877-926-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCTAVIUS",
        "first_name": "JOSIANE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.