Individual provider Active NPI

Reny Jose, FNP-BC

  • Family Nurse Practitioner
  • Little Elm, TX
National Provider Identifier
1942844121
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1032426 Issued in TX
Practice address
2591 FM 423
Little Elm, TX 75068-6664
Phone
(972) 731-8032
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341913-1 NY
Family Nurse Practitioner 363LF0000X 1032426 TX Primary

Addresses

Primary practice location

2591 FM 423
Little Elm, TX 75068-6664

Mailing address

2591 FM 423
Little Elm, TX 75068-6664
Phone (718) 614-1029

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
I20220126002192 TX Practitioner - Nurse Practitioner 6507258456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2591 FM
Suite 423
Little Elm, TX 75068-6664
Phone (866) 389-2727

4708 Alliance Blvd
Suite 550
Plano, TX 75093-5363
Phone (469) 800-6140

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F341913-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Apr 14, 2023 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Dec 2, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 2, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 15, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 15, 2025 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

2591 FM 423
Little Elm, TX 75068
Phone (972) 439-6941

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Interoperability endpoints

  • Direct secure messaging: rjose1478389@direct.sw.org

Organizations & group practices 6

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.

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1942844121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 FM 423",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686664",
            "telephone_number": "718-614-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 FM 423",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686664",
            "telephone_number": "972-731-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "RENY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341913-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1032426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.