Individual provider Active NPI

Meiyan Jiang

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1952175481
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1139954 Issued in TX
Practice address
3410 Worth St Ste 560
Dallas, TX 75246-2081
Phone
(503) 866-9216
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 1139954 TX Primary

Addresses

Primary practice location

3410 Worth St Ste 560
Dallas, TX 75246-2081

Mailing address

3410 Worth St Ste 560
Dallas, TX 75246-2081
Phone (503) 866-9216

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
I20240322003138 TX Practitioner - Nurse Practitioner 1052758216 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
Medinet Healthcare Agency IncGroup PAC ID 7416257175, 5 clinicians

Practice addresses (Care Compare)

4425 Plano Pkwy
Suite 203
Carrollton, TX 75010-5026
Phone (972) 752-6206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medinet Healthcare Agency Inc CurrentSince Feb 15, 2024 Accepting new patients

Locations

4425 Plano Pkwy
Ste 203
Carrollton, TX 75010
Phone (972) 752-6206

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1952175481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462081",
            "telephone_number": "503-866-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462081",
            "telephone_number": "503-866-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "MEIYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1139954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.