Jason Groseclose, APRN,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125309 Issued in TX

Practice address

305 N Patrick St
Dublin, TX 76446-1918

Phone

(254) 445-4900

Fax

(254) 445-4693

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Comanche County Medical Center Company

  dba Doctors Medical Center

  • Rural Health Clinic/Center
  • Comanche, TX
  • NPI 1114221199
  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1922427996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N PATRICK ST",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461918",
            "telephone_number": "254-445-4900",
            "fax_number": "254-445-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N PATRICK ST",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461918",
            "telephone_number": "254-445-4900",
            "fax_number": "254-445-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSECLOSE",
        "first_name": "JASON",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP125309",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fibromyalgis and Chronic Pain Assocs.
• Angelee Gibson
• Golden Age HH Opco LLC (Golden Age Healthcare Residence)
• Golden Age Mnagement Company, LLC (Golden Age Manor Nursing Home)
• Golden HC Operator LLC (Golden Age Healthcare Residence)
• Richard Van Harbin, DDS
• Brandi Burgan Harris, D.D.S.
• John C. Hodges, M.D.
• J&S Legacy Partners, LLC (CCS Medical Equipment)
• Jeffrey C Hutchins (Dublin Family Medicine)

• Family Nurse Practitioner in Dublin, TX
• Providers in Dublin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.