Individual provider Active NPI

Jacqueline Rose Semenoff, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972169050
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140580 Issued in TX
Practice address
18220 State Highway 249
Houston, TX 77070-4347
Phone
(281) 737-1000
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 AP140580 TX Primary

Addresses

Primary practice location

18220 State Highway 249
Houston, TX 77070-4347

Mailing address

1241 Hobbs Reach LN
Houston, TX 77008-6465
Phone (610) 506-3918

Other practice location 1

6565 Fannin St
Houston, TX 77030-2703
Phone (281) 737-1000

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
I20190619002467 TX Practitioner - Nurse Practitioner 4385978766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

18220 State Hwy 249
Suite 400
Houston, TX 77070-4349
Phone (281) 737-2165

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140580TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 20, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 20, 2019 Accepting new patients

Locations

4710 Bellaire Blvd
Ste 250
Bellaire, TX 77401
Phone (713) 441-9040

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

18220 Tomball Pkwy
Ste 400
Houston, TX 77070
Phone (281) 737-0570

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: jsemenoff230397@directhoustonmethodist.org

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 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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1972169050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HOBBS REACH LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086465",
            "telephone_number": "610-506-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "281-737-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "281-737-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMENOFF",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.