PHILLIP W. JANSEN
NPI 1336012046
Family Medicine in Hereford, TX
About Phillip W. Jansen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP W. JANSEN (NPI 1336012046) is a healthcare organization registered as a family medicine in Hereford, Texas and active in the NPI registry since September 2025. The organization lists Phillip Wayne Jansen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phillip W. Jansen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip W. Jansen, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Phillip W. Jansen's NPI number?
The NPI number for Phillip W. Jansen is 1336012046. It was assigned to this organization in the NPPES registry on September 29, 2025.
Where is Phillip W. Jansen located?
Phillip W. Jansen is located at 540 W 15th St, Hereford, TX 79045. The listed phone number is (803) 364-7512.
What is Phillip W. Jansen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Phillip W. Jansen enrolled in Medicare?
Yes. Phillip W. Jansen is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phillip W. Jansen?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Phillip W. Jansen. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Phillip W. Jansen was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Phillip W. Jansen · NPI 1336012046
Family Medicine organization in Hereford, Texas. Organization record, active in the CMS NPPES registry since September 29, 2025.
## Identity
- **NPI:** 1336012046 (Entity type: Organization)
- **Enumerated:** September 29, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Phillip Jansen, PRESIDENT
## Practice location
- **Address:** 540 W 15TH ST, Hereford, TX 79045-2820
- **Phone:** (803) 364-7512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336012046) · Data from the CMS NPPES public registry.