JACEELLI HEALTHCARE
NPI 1649811316
Nurse Practitioner in Midlothian, TX

Q: What is Jaceelli Healthcare's NPI number?

The NPI number for Jaceelli Healthcare is 1649811316. It was assigned to this organization in the NPPES registry on October 3, 2019.

Q: What is Jaceelli Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 03, 2019

213 TIMBERLINE DR, MIDLOTHIAN, TX 76065(832) 215-0223 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2020, Aug 28, 2020, Oct 3, 2019 (3 updates tracked since 2019).

On this page

About Jaceelli Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACEELLI HEALTHCARE (NPI 1649811316) is a healthcare organization registered as a nurse practitioner in Midlothian, Texas and active in the NPI registry since October 2019. The organization maintains a secondary practice location in Arlington and lists Jude N Abam, Owner / Practitioner, as its authorized official.

NPPES Registry Identity

NPI1649811316

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameJACEELLI HEALTHCARE

Location Address213 TIMBERLINE DRMidlothian, TX 76065-5611

Mailing Address213 Timberline DrMidlothian, TX 76065-5611 · (832) 215-0223

Phone(832) 215-0223

Organization SubpartNo

Authorized OfficialJude N AbamOwner / Practitioner · (832) 215-0223

Enumeration DateOctober 3, 2019

Last NPPES UpdateOctober 30, 20203 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1649811316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

213 TIMBERLINE DR, Midlothian, TX 76065

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Secondary Practice Location 1

Location 11011 N Cooper StArlington, TX 76011-5517 · Phone (817) 261-3121

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaceelli Healthcare 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 Jaceelli Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jude Abam

Nurse Practitioner

NPI 1699337881

1011 N COOPER ST
Arlington, TX 76011

(832) 215-0223

✔ PECOS21 mi

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 Jaceelli Healthcare's NPI number?

The NPI number for Jaceelli Healthcare is 1649811316. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Jaceelli Healthcare located?

Jaceelli Healthcare is located at 213 Timberline Dr, Midlothian, TX 76065. The listed phone number is (832) 215-0223.

What is Jaceelli Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaceelli Healthcare enrolled in Medicare?

Yes. Jaceelli Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jaceelli Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jaceelli Healthcare. 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.

What insurance does Jaceelli Healthcare accept?

Health plans from Blue Cross and Blue Shield of Texas list Jaceelli Healthcare 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.

When was this NPI record last updated?

The NPPES record for Jaceelli Healthcare was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.