Jamie Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP129449 Issued in TX

Practice address

1302 N Pacific St
Mineola, TX 75773

Phone

(903) 569-5383

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Homecare Home health agency, Tyler, TX, CCN 743197
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
• Christus Mother Frances Hospital- Winnsboro Hospital, Winnsboro, TX, CCN 451381
• Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjohnson160571@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  TX

  Medicare reassignment Care Compare group NPD
• Mother Frances Hospital Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672

  TX

  Medicare reassignment NPD
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439

  TX

  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  Care Compare group NPD
• Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • New Braunfels, TX
  • NPI 1639807548
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Emory, TX
  • NPI 1033641105
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Canton, TX
  • NPI 1134313083
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Mineola, TX
  • NPI 1275727125
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Hawkins, TX
  • NPI 1396939146
  Care Compare group
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Quitman, TX
  • NPI 1497949341
  Care Compare group
• Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1891422192
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Hopkins Health Alliance

  • General Acute Care Hospital
  • Sulphur Springs, TX
  • NPI 1033568621

  Hospital

  Care Compare affiliation
• LHCG Cxii, LLC

  • Home Health Agency
  • Tyler, TX
  • NPI 1669994471
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439

  Hospital

  Care Compare affiliation
• Mother Frances Hospital-Winnsboro

  • Critical Access Hospital
  • Winnsboro, TX
  • NPI 1659308948

  Hospital

  Care Compare affiliation
• Tyler Regional Hospital LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1407364847

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1891167151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "75773",
            "telephone_number": "903-569-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Highway 37 S",
            "address_purpose": "LOCATION",
            "city": "MT Vernon",
            "state": "TX",
            "postal_code": "754576550",
            "country_code": "US",
            "telephone_number": "903-537-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Highway 37 S",
            "address_purpose": "LOCATION",
            "city": "MT Vernon",
            "state": "TX",
            "postal_code": "754576550",
            "country_code": "US",
            "telephone_number": "903-537-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354414002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8JP085",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02057770",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Carl Norris, OD PC
• J.L. Miguez, Inc.
• Richard A Jameson, PA
• JMS Home Medical Supply, LLC
• JMS Rentals, Inc.
• Karen'S Wig Shoppes, LLC
• Brian Arthur Kay, DDS
• Kelly Drug Inc
• Kelly Drug Inc
• Modesty King, COTA

• All providers in Mineola, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.

Verify at the official NPI Registry.