Individual provider Active NPI

Jennifer Lenae Hurt-Frazier, FNP

  • Family Nurse Practitioner
  • Mineola, TX
National Provider Identifier
1942064670
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1148560 Issued in TX
Practice address
1220 N Pacific St
Mineola, TX 75773-1054
Phone
(903) 569-6124
NPI assigned
Feb 13, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 1148560 TX Primary

Addresses

Primary practice location

1220 N Pacific St
Mineola, TX 75773-1054

Mailing address

15956 McElroy Rd
Whitehouse, TX 75791-8335
Phone (903) 363-3526

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
I20240227002102 TX Practitioner - Nurse Practitioner 5294170544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quitman Hospital LLCGroup PAC ID 9133484330, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

1220 N Pacific St
Mineola, TX 75773-1054
Phone (903) 569-6124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1148560TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Feb 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Feb 1, 2024 Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients
Quitman Hospital LLC Past Accepting new patients

Locations

406 E State Highway 243
Canton, TX 75103
Phone (903) 567-4784

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1220 N Pacific St
Mineola, TX 75773
Phone (903) 569-0610

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

600 E Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3651

Interoperability endpoints

  • Direct secure messaging: jhurtfrazier962076@ahs.direct-ci.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 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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1942064670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15956 MCELROY RD",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757918335",
            "telephone_number": "903-363-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731054",
            "telephone_number": "903-569-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT-FRAZIER",
        "first_name": "JENNIFER",
        "middle_name": "LENAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1148560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, TX

Sources for this page

Verify at the official NPI Registry.