PAULA JONES FNP-C
NPI 1275139669
Nurse Practitioner in Carthage, TX
About Paula Jones Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULA JONES FNP-C (NPI 1275139669) is an individual nurse practitioner in Carthage, Texas, licensed in Texas (1017774) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Carthage Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paula Jones Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Paula Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Carthage Hospital
Acute Care Hospitals · Carthage, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75633 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARTHAGE, TX 75633
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paula Jones's NPI number?
The NPI number for Paula Jones is 1275139669. It was assigned to this individual provider in the NPPES registry on December 10, 2020.
Where is Paula Jones located?
Paula Jones practices at 409 Cottage Rd, Carthage, TX 75633. The listed phone number is (903) 694-4854.
What is Paula Jones's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Paula Jones enrolled in Medicare?
Yes. Paula Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Paula Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paula Jones reassigns Medicare benefits to Acs Primary Care Physicians Southwest, PA (Gainesville, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paula Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paula Jones accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Paula Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Paula Jones affiliated with any hospitals?
According to CMS data, Paula Jones is affiliated with Ut Health East Texas Carthage Hospital.
When was this NPI record last updated?
The NPPES record for Paula Jones was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Paula Jones, FNP-C · NPI 1275139669
Nurse Practitioner physician in Carthage, Texas. Individual provider, active in the CMS NPPES registry since December 10, 2020.
## Identity
- **NPI:** 1275139669 (Entity type: Individual)
- **Enumerated:** December 10, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1017774 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 409 COTTAGE RD, Carthage, TX 75633-1466
- **Phone:** (903) 694-4854
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1275139669) · Data from the CMS NPPES public registry.