JESSICA DAWN LARGE FNP-C
NPI 1013861954
Nurse Practitioner in Dallas, TX

Q: What is Jessica Large's NPI number?

The NPI number for Jessica Large is 1013861954. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Q: What is Jessica Large's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Large was last updated on April 8, 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.

Active since February 26, 2026PECOS Enrolled

4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244(855) 984-5121 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jessica Dawn Large Fnp-c NPPES

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

JESSICA DAWN LARGE FNP-C (NPI 1013861954) is an individual nurse practitioner in Dallas, Texas, licensed in West Virginia (124999) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013861954

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA DAWN LARGECredential: FNP-C

Location Address4055 VALLEY VIEW LN STE 700Dallas, TX 75244-5045

Mailing Address167 Muzzleloader Ln Apt 202Martinsburg, WV 25404-1145

Phone(855) 984-5121

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 26, 2026

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1013861954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WV · 124999

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.

4055 VALLEY VIEW LN STE 700, Dallas, TX 75244

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Dawn Large Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688146566

PECOS Enrollment IDI20260611001216

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Large reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates, PLLC

Same address

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, West Virginia enrollment
228 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

West Virginia University Medical Corporation

1,026 mi

Clinical Medical Laboratory

527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1457605404 (304) 848-2152

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE MARGARET TOBIAS NP-C

Nurse Practitioner (Family)