JACAIL SHAWUAN BAILEY (NP) – Nurse Practitioner, NPI 1295202604
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for JACAIL SHAWUAN BAILEY (NP)
UT Health Olympic Center at Tyler, 701, Olympic Plaza Circle, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757011950
Phone: (903) 596-3587
Fax: (903) 594-2647
Type: Location
Jack in the Box, 6915, South Broadway Avenue, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 757130549
Phone: (903) 579-3931
Fax: (903) 509-5835
Type: Mailing
6901 SNIDER PLZ STE 130
DALLAS, TX 752055649
Phone: (214) 696-8033
Fax: (214) 361-2552
Type: Mailing
1814 ROSELAND BLVD
TYLER, TX 757014234
Phone: (214) 696-8033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181117000093 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 210 | 48 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 88 | 33 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 52 | 48 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Family Practice, Pain Management, Sports Medicine | TX | |
| Internal Medicine, Emergency Medicine, Hospitalist | TX |
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