Jill Elyse McLean, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP109982 Issued in TX

Practice address

300 W Halsell St
Dimmitt, TX 79027

Phone

(806) 647-2194

Fax

(806) 647-3769

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castro County Hospital District

  • Family Nurse Practitioner
  • Dimmitt, TX
  • NPI 1942491774
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1942464342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HALSELL ST",
            "city": "DIMMITT",
            "state": "TX",
            "postal_code": "790271846",
            "telephone_number": "806-647-2194",
            "fax_number": "806-647-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HALSELL ST",
            "city": "DIMMITT",
            "state": "TX",
            "postal_code": "79027",
            "telephone_number": "806-647-2194",
            "fax_number": "806-647-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "JILL",
        "middle_name": "ELYSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "555115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP109982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063566601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063566602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N49A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "458679",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "00N49A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084207201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Murray Hochstein, NP-C
• Honor Services,Inc.
• Kyaw Thu Htun, DMD
• Timothy Brian Jones, M.D.
• Rita Del McDaniel, RN, BSN
• Mike Capt MD PLLC
• Lyndy Rae Nelson, MED. LPC
• Riddle RX LP
• Riddle RX LP
• Traci Ann Robb, P.T.

• Family Nurse Practitioner in Dimmitt, TX
• Providers in Dimmitt, 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 Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.