MR. JACK ROBERT THURMAN NURSE PRACTITIONER
NPI 1063091676
Nurse Practitioner - Acute Care in Dallas, TX

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
9839 ELMCREST DR, DALLAS, TX 75238(214) 335-9717 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Robert Thurman Nurse Practitioner NPPES

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

MR. JACK ROBERT THURMAN NURSE PRACTITIONER (NPI 1063091676) is an individual acute care provider in Dallas, Texas, licensed in Texas (1032756) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063091676
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JACK ROBERT THURMANCredential: NURSE PRACTITIONER
Location Address9839 ELMCREST DRDallas, TX 75238-1831
Mailing Address9839 Elmcrest DrDallas, TX 75238-1831 · (214) 335-9717
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1063091676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1032756
9839 ELMCREST DR, Dallas, TX 75238

Accepted 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

Mr. Jack Robert Thurman Nurse Practitioner 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 ID8628471570
PECOS Enrollment IDI20210729001537
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

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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75238 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.

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 Jack Thurman's NPI number?

The NPI number for Jack Thurman is 1063091676. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Jack Thurman located?

Jack Thurman practices at 9839 Elmcrest Dr, Dallas, TX 75238. The listed phone number is (214) 335-9717.

What is Jack Thurman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jack Thurman enrolled in Medicare?

Yes. Jack Thurman 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 Jack Thurman 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 1 other insurer list Jack Thurman 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 Jack Thurman affiliated with any hospitals?

According to CMS data, Jack Thurman is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Jack Thurman was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.