Individual provider Active NPI

Albany Jayne Adams, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1942777271
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139408 Issued in TX
Practice address
4222 Wendover Ave Ste 600
Odessa, TX 79762-5983
Phone
(432) 552-5656
Fax
(844) 278-3305
NPI assigned
Oct 24, 2018
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 AP139408 TX Primary

Addresses

Primary practice location

4222 Wendover Ave Ste 600
Odessa, TX 79762-5983

Mailing address

11 Bristol CT
Odessa, TX 79762-5159
Phone (432) 934-4352

Other names 1

  • Albany Jayne Hawkins Former name

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
I20190531001217 TX Practitioner - Nurse Practitioner 4082947320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Physicians, PLLCGroup PAC ID 7214963958, 16 clinicians

Practice addresses (Care Compare)

1220 W University Blvd
Odessa, TX 79764-7118
Phone (432) 332-6600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scotty Ortega MD LLP CurrentSince Feb 12, 2019 Accepting new patients
First Physicians, PLLC CurrentSince Mar 9, 2023 Accepting new patients

Locations

1220 W University Blvd
Odessa, TX 79764
Phone (432) 332-6600

2487 E 11th St
Odessa, TX 79761
Phone (432) 332-1386

3001 N Faudree Rd
Odessa, TX 79765
Phone (432) 332-1386

4222 Wendover Ave
Ste 600
Odessa, TX 79762
Phone (432) 522-5656

Interoperability endpoints

  • Direct secure messaging: albany.hawkins.1@10019.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1942777271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRISTOL CT",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625159",
            "telephone_number": "432-934-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE STE 600",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625983",
            "telephone_number": "432-552-5656",
            "fax_number": "844-278-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ALBANY",
        "middle_name": "JAYNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBANY",
            "last_name": "HAWKINS",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.