Jeanne Marie Blakeslee, PMHNP
Nurse Practitioner (CMS) · Southlake, TX
At a glance
1100 E Southlake Blvd Ste 300, Southlake, TX 76092-6350
NPPES record updated Jun 26, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1100 E Southlake Blvd Ste 300Southlake, TX 76092-6350
Additional reported practice locations
1515 S Capital Of Texas Hwy Ste 300Austin, TX 787466544
Phone: 8448248775 801 7Th Ave
Fort Worth, TX 761042733
Phone: 6828851050
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2018
- CMS specialties
- Nurse Practitioner
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Nurse Practitioner (CMS)
- Taxonomy code
- 363LP0808X
- Enumeration date
- Oct 3, 2018
- Record updated
- Jun 26, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PMHNP
Reported taxonomies and licenses
363LP0808X · Primary
License reported: AP139257 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1100 E Southlake Blvd Ste 300Southlake, TX 76092-6350
- Phone
- (178) 873-0595
- Fax
- (817) 873-0596
Mailing address
101 W COOPERATIVE WAYSTE 110
GEORGETOWN, TX 786268209
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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