Jennie T Masabo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144983 Issued in TX

Practice address

4301 Brown TRL
Colleyville, TX 76034-3949

Phone

(817) 281-8275

Fax

(817) 788-8638

NPI assigned

Mar 6, 2020

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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
• Baylor Scott and White the Heart Hospital Corinth Hospital, Denton, TX, CCN 670347

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmasabo640493@direct.sw.org

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment Care Compare group NPD
• Texas Heart Hospital of the Southwest LLP

  • Nurse Practitioner
  • Plano, TX
  • NPI 1104164755
  Medicare reassignment NPD
• Catalyst Physician Group - NTX, PLLC

  • Family Medicine Physician
  • Plano, TX
  • NPI 1811677610
  NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1235135906
  NPD
• Texas Heart Hospital of the Southwest LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Heart Hospital of the Southwest, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation
• Thhbp Management Company LLC

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1669213831
  Care Compare affiliation

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1992330237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 WAVERLEY DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762623425",
            "telephone_number": "214-405-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BROWN TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343949",
            "telephone_number": "817-281-8275",
            "fax_number": "817-788-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASABO",
        "first_name": "JENNIE",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144983",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "1174604789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Makori, PMHNP
• Kristi Ann Mannon, PH.D.
• Maria 'Maggie' Orona, LPC-S, PLLC
• Marvin Martin, DPT
• Alex Martynenko
• Siatta Massaquoi Davis, DDS
• Camille D Matthews, LCSW
• Maxfitness Health & Education
• Maxhealth Family, Internal & Sports Medicine
• Maxhealth Medical Associates, PA

• Family Nurse Practitioner in Colleyville, TX
• Providers in Colleyville, 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 May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.