Individual provider Active NPI

Jared D Nielson, FNP-C

  • Family Nurse Practitioner
  • Edna, TX
National Provider Identifier
1902363831
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1053263 Issued in TX
Practice address
1013A S Wells St
Edna, TX 77957-4045
Phone
(361) 782-7820
Fax
(361) 782-5627
NPI assigned
Feb 27, 2019
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6593690-4405 UT
Family Nurse Practitioner 363LF0000X 1053263 TX Primary
Registered Nurse 163W00000X 6593690-3102 UT

Addresses

Primary practice location

1013A S Wells St
Edna, TX 77957-4045

Mailing address

1013A S Wells St
Edna, TX 77957-4045
Phone (361) 782-7820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnielson@jchd.org

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
I20220727001204 TX Practitioner - Nurse Practitioner 2769864537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Hospital DistrictGroup PAC ID 2365423795, 20 clinicians
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

1013 A S Wells St
Edna, TX 77957-4045

1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7800

2705 Hospital Dr
Suite 400
Victoria, TX 77901-5776
Phone (361) 574-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6593690-3102UTMDRegistered Nurse
6593690-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen's Medical Center County of Victoria Family CurrentSince Nov 1, 2025 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1013 S Wells St
#A
Edna, TX 77957
Phone (361) 782-3560

1013A S Wells St
Edna, TX 77957
Phone (361) 782-3560

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

105 Spring Green Blvd
Ste 500
Victoria, TX 77904
Phone (361) 582-5685

2603 Hospital Dr
Victoria, TX 77901
Phone (361) 220-7998

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

2705 Hospital Dr
Victoria, TX 77901

2705 Hospital Dr
Ste 400
Victoria, TX 77901
Phone (361) 574-1556

2705 Hospital Dr
Ste 402
Victoria, TX 77901
Phone (361) 573-6351

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

8206 N Navarro St
Victoria, TX 77904
Phone (361) 573-4700

9006 N Navarro St
Ste B
Victoria, TX 77904
Phone (361) 485-0021

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

1200 Carl Ramert Dr
Ste D
Yoakum, TX 77995
Phone (361) 293-7061

Interoperability endpoints

  • Direct secure messaging: jared.nielson.1@1902.direct.athenahealth.com
  • Direct secure messaging: jnielson@jchd.org

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.

Hospital & facility affiliations 5

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1902363831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013A S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7820",
            "fax_number": "361-782-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013A S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7820",
            "fax_number": "361-782-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JARED",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-27",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6593690-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1053263",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6593690-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnielson@jchd.org",
            "affiliation": "N",
            "address_1": "1013A S Wells St",
            "city": "Edna",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779574045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edna, TX

Sources for this page

Verify at the official NPI Registry.