Individual provider Active NPI

Jessica L. Tellez, FNP

  • Family Nurse Practitioner
  • Lampasas, TX
National Provider Identifier
1912669375
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1056844 Issued in TX
Practice address
1205 Central Texas Expy
Lampasas, TX 76550-3388
Phone
(512) 556-5362
Fax
(512) 556-8004
NPI assigned
Oct 12, 2021
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 1056844 TX Primary

Addresses

Primary practice location

1205 Central Texas Expy
Lampasas, TX 76550-3388

Mailing address

1205 Central Texas Expy
Lampasas, TX 76550-3388
Phone (512) 556-5362

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
I20211020000982 TX Practitioner - Nurse Practitioner 4688062862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

Practice addresses (Care Compare)

1205 Central Texas Expy
Lampasas, TX 76550-3388
Phone (512) 556-5362

525 Ranch Rd
Suite 2900
Kingsland, TX 78639-6000
Phone (325) 388-6912

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Feb 1, 2025 Accepting new patients
Ascension Seton Current Accepting new patients
Ascension Seton CurrentSince Feb 1, 2025 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

160 N Lampasas St
Bertram, TX 78605
Phone (512) 355-2678

200 John W Hoover Pkwy
Bldg 3B
Burnet, TX 78611

200 John W Hoover Pkwy
Ste 1A
Burnet, TX 78611

200 John W Hoover Pkwy
Bldg 1
Burnet, TX 78611
Phone (512) 715-3046

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

Interoperability endpoints

  • Direct secure messaging: jessica.tellez.1@8363.direct.athenahealth.com

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 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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1912669375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CENTRAL TEXAS EXPY",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765503388",
            "telephone_number": "512-556-5362",
            "fax_number": "512-556-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CENTRAL TEXAS EXPY",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765503388",
            "telephone_number": "512-556-5362",
            "fax_number": "512-556-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

Verify at the official NPI Registry.