NORTHEAST TEXAS NEUROLOGY ASSOCIATES, P.A.
NPI 1972680130
Psychiatry & Neurology - Neurology in Tyler, TX
About Northeast Texas Neurology Associates, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST TEXAS NEUROLOGY ASSOCIATES, P.A. (NPI 1972680130) is a healthcare organization registered as a neurology in Tyler, Texas and active in the NPI registry since November 2006. The organization lists Gina M. Jetter, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Texas Neurology Associates, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Texas Neurology Associates, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Northeast Texas Neurology Associates, P.A.'s NPI number?
The NPI number for Northeast Texas Neurology Associates, P.A. is 1972680130. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Northeast Texas Neurology Associates, P.A. located?
Northeast Texas Neurology Associates, P.A. is located at 505 S Fleishel Ave, Tyler, TX 75702. The listed phone number is (903) 526-7055.
What is Northeast Texas Neurology Associates, P.A.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Northeast Texas Neurology Associates, P.A. enrolled in Medicare?
Yes. Northeast Texas Neurology Associates, P.A. is registered in the Medicare PECOS enrollment system.
When is Northeast Texas Neurology Associates, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northeast Texas Neurology Associates, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northeast Texas Neurology Associates, P.A., in Neurology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northeast Texas Neurology Associates, P.A. was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Northeast Texas Neurology Associates, P.a. · NPI 1972680130
Neurology organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1972680130 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Gina Jetter, PRESIDENT
## Practice location
- **Address:** 505 S FLEISHEL AVE, Tyler, TX 75702-8413
- **Phone:** (903) 526-7055 · **Fax:** (903) 593-4303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2022
- **Other identifiers:** Medicaid 115025205 (TX); Medicaid 143629701 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1972680130) · Data from the CMS NPPES public registry.