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EDUY J JAMES DNP,APRIN,FNP-BC
NPI 1043695984
Nurse Practitioner - Family in Cleburne, TX

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
128 S. RIDGEWAY DRIVE, CLEBURNE, TX 76033(682) 597-6142(817) 556-0856 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2024, May 5, 2020, Aug 27, 2019 and 1 more (4 updates tracked since 2016).

About Eduy J James Dnp,aprin,fnp-bc NPPES

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

EDUY J JAMES DNP,APRIN,FNP-BC (NPI 1043695984) is an individual family provider in Cleburne, Texas, licensed in Texas (AP128467) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Cleburne, and maintains a secondary practice location in Cleburne.

NPPES Registry Identity

NPI1043695984
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDUY J JAMESCredential: DNP,APRIN,FNP-BC
Location Address128 S. RIDGEWAY DRIVECleburne, TX 76033
Mailing Address128 S. Ridgeway DriveCleburne, TX 76033 · (817) 774-2576 · Fax (817) 556-0856
Phone(682) 597-6142
Fax(817) 556-0856
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 21, 2015
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1043695984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP128467
128 S. RIDGEWAY DRIVE, Cleburne, TX 76033
Open in Google Maps ↗

Secondary Practice Location 1

Location 11900 E Henderson StCleburne, TX 76031-5214 · Phone (682) 597-6142

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eduy J James Dnp,aprin,fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971868787
PECOS Enrollment IDI20180529001350
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services23 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
21 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Cleburne

Acute Care Hospitals · Cleburne, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450148
Location201 Walls DriveCleburne, TX 76033 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76033 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

CLEBURNE FAMILY CARE, LLC
Clinic/Center (Primary Care)
128 S. RIDGEWAY DRIVE
CLEBORNE, TX 76033
Johnson County (682) 597-6142

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 Eduy James's NPI number?

The NPI number for Eduy James is 1043695984. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Eduy James located?

Eduy James practices at 128 S. Ridgeway Drive, Cleburne, TX 76033. The listed phone number is (682) 597-6142.

What is Eduy James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eduy James enrolled in Medicare?

Yes. Eduy James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eduy James accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Eduy James 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.

Is Eduy James affiliated with any hospitals?

According to CMS data, Eduy James is affiliated with Texas Health Harris Methodist Hospital Cleburne.

When was this NPI record last updated?

The NPPES record for Eduy James was last updated on June 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.