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Active NPI 1912350141 Individual Practitioner Female Practitioner

Jessica Eitel , NP-C

Nurse Practitioner - Family • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Jessica Eitel, NP-C is a registered healthcare professional specializing in Nurse Practitioner - Family in Tyler, TX. Practice services are available at 800 E DAWSON ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9036064262
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
218 Specialists

Practicing in Tyler, TX (21454 Statewide)

Telehealth Adoption Rate
15.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
44 43 $1503.86 $143.84
99284 Emergency department visit with moderate level of medical decision making
21 21 $757.57 $97.75

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX AP131552

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
365242203 (TX)
Medicaid State Provider ID
365242204 (TX)
Commercial Insurance / Payer ID Medicare Rail Road
P01975590 (TX)
Commercial Insurance / Payer ID Medicare Rail Road
P01975552 (TX)

Secondary Practice Locations

2901 4th St

Longview, TX 756055128

Phone: 9032323606

2901 4th St

Longview, TX 756055128

Phone: 9032323606

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. James Carr , MD

Emergency Medicine

NPI 1013322619

Doctor of Medicine (M.D.)

Dr. Clinton Smithson , MD

Emergency Medicine

NPI 1083025134

Doctor of Medicine (M.D.)

Justin Timmons , FNP

Nurse Practitioner - Family

NPI 1093916017

Family Nurse Practitioner

David Fannon , MPAS, PA-C

Physician Assistant - Medical

NPI 1154660975

MPAS, Physician Assistant (Certified)

Carly Diviney , APRN FNP-C

Nurse Practitioner - Family

NPI 1235928425

APRNFNPC

Katharine Scheusner , NP

Nurse Practitioner - Family

NPI 1326374802

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 23, 2018

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9036064262)

📍
Updated Business Mailing Address March 23, 2018

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)

📍
Updated Practice Location March 12, 2018

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9036064262)

📍
Updated Business Mailing Address March 12, 2018

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)

NPI Profile Active July 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2016

Registered at 2901 4TH ST, LONGVIEW, TX 756055128 (Tel: 9032323606)

📍
Updated Business Mailing Address July 22, 2016

Registered at 2901 4TH ST, LONGVIEW, TX 756055128 (Tel: 9032323606)

👤
Provider Name / Credentials Updated July 22, 2016

Recorded as JESSICA EITEL, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Nurse Practitioner (License #AP131552 in TX)

🟢
Initial NPI Registration & Enumeration July 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912350141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2016
Last Update: March 23, 2018
Sole Proprietor: No

Mailing Address

Po Box 841656

Dallas, TX 752841656

Phone: 9035315000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.