Active NPI
Jill A Feezell, DO
- Emergency Medicine Physician
- Weatherford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M3537
- Practice address
- 713 E Anderson St
Weatherford, TX 76086-5705 - Phone
- (817) 596-8751
- NPI assigned
- Jun 17, 2006
- Last updated
- Dec 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M3537 | TX | Primary |
Addresses
Primary practice location
713 E Anderson St
Weatherford, TX 76086-5705
Mailing address
PO Box 8549
Fort Worth, TX 76124-0549
Phone (817) 451-4208
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8X8163 | Other | TX | BCBS |
| 0050NS | Other | TX | BCBS |
| 182748701 | Medicaid | TX |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2750 SW Wilshire Blvd
Burleson, TX 76028-8338
Phone (817) 782-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 775 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Past | Accepting new patients |
| York Emergency Physicians | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
2750 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 782-8000
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
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.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Care Clinic/Center
- Rock Hill, SC
- NPI 1700828084
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Azle, TX
- NPI 1508899204
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1871538645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8549",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761240549",
"telephone_number": "817-451-4208",
"fax_number": "817-563-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E ANDERSON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865705",
"telephone_number": "817-596-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEEZELL",
"first_name": "JILL",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M3537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8X8163",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0050NS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182748701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.