Individual provider Active NPI

Jacklyn Gomez Jones, DNP, FNP-C, RN, OCN

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1932749918
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143009 Issued in TX
Practice address
800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone
(817) 759-7027
Fax
(817) 759-7027
NPI assigned
Jan 8, 2020
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 AP143009 TX Primary

Addresses

Primary practice location

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Other practice location 1

1307 8th Ave Ste 506
Fort Worth, TX 76104-4142
Phone (817) 332-6092

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjones@txcc.direct.varian.com Direct Oncology-Hematology Consultants PA

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
I20200320002501 TX Practitioner - Nurse Practitioner 0749618973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Magnolia Ave
The Ctr for Can and
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Consultants, PA CurrentSince Jan 24, 2023 Accepting new patients
Oncology-Hematology Consultants PA CurrentSince Jan 24, 2023 Accepting new patients

Locations

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: jjones@txcc.direct.varian.com
  • Direct secure messaging: jjones@txcc.oncoemrdirect.com

Organizations & group practices 2

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 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1932749918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7027",
            "fax_number": "817-759-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 8th Ave Ste 506",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044142",
            "country_code": "US",
            "telephone_number": "817-332-6092",
            "fax_number": "817-332-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACKLYN",
        "middle_name": "GOMEZ",
        "credential": "DNP, FNP-C, RN, OCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjones@txcc.direct.varian.com",
            "affiliation": "Y",
            "affiliationName": "Oncology-Hematology Consultants PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Magnolia Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.