Individual provider Active NPI

Ashley Jendusa, FNP-C

  • Family Nurse Practitioner
  • Decatur, TX
National Provider Identifier
1881435675
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1169178 Issued in TX
Practice address
800 Medical Center Dr
Decatur, TX 76234-3843
Phone
(940) 626-2110
NPI assigned
Jun 5, 2024
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 1169178 TX Primary

Addresses

Primary practice location

800 Medical Center Dr
Decatur, TX 76234-3843

Mailing address

800 Medical Center Dr
Decatur, TX 76234-3843
Phone (940) 626-2110

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
I20250224003226 TX Practitioner - Nurse Practitioner 7315467123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christine Holland, M.D., P. a.Group PAC ID 3779658190, 30 clinicians

Practice addresses (Care Compare)

800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nobility Medical PLLC CurrentSince Jan 20, 2025 Accepting new patients
Virtue Medical Physical Therapy, PLLC CurrentSince Dec 4, 2024 Accepting new patients
Virtue Medical Group, LLC CurrentSince Dec 4, 2024 Accepting new patients
Christine Holland MD PA CurrentSince Feb 21, 2025 Accepting new patients

Locations

1306 13th St
Bridgeport, TX 76426
Phone (940) 255-6552

1703 16th St
Ste D
Bridgeport, TX 76426
Phone (940) 255-6552

401 Center Court Dr
Bridgeport, TX 76426
Phone (940) 255-6552

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1881435675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343843",
            "telephone_number": "940-626-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343843",
            "telephone_number": "940-626-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDUSA",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.