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MRS. JESSICA BROOKE SAMPLE RN, CPNP-PC
NPI 1093950115
Nurse Practitioner in Dallas, TX

Active since December 03, 2008PECOS Enrolled
7777 FOREST LN STE C300J, DALLAS, TX 75230(972) 566-2043(972) 566-7437 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Brooke Sample Rn, Cpnp-pc NPPES

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

MRS. JESSICA BROOKE SAMPLE RN, CPNP-PC (NPI 1093950115) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (AP117352) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093950115
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JESSICA BROOKE SAMPLECredential: RN, CPNP-PC
Location Address7777 FOREST LN STE C300JDallas, TX 75230-2604
Mailing Address7777 Forest Ln Ste C300jDallas, TX 75230-2604 · (972) 566-7730
Phone(972) 566-2043
Fax(972) 566-7437
Sole ProprietorNo
Enumeration DateDecember 3, 2008
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1093950115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP117352
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.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 689425 (TX)
7777 FOREST LN STE C300J, Dallas, TX 75230
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Secondary Practice Locations 2

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-2788
Location 27777 Forest Ln Ste B246Dallas, TX 75230-6816 · Phone (972) 454-5288

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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 (PECOS)

Mrs. Jessica Brooke Sample Rn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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 15

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

DARINKA-STEFKA SAVOR AG-ACNP-BC
Nurse Practitioner (Acute Care)
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (972) 566-7050
NICOLE MAKRAKIS AGACNP-BC
Nurse Practitioner
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (469) 608-4980
GABRIELA IRINA CENTERS MD
Pediatrics (Pediatric Critical Care Medicine)
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (972) 401-9807
NATALIA TESTO D.O.
Pediatrics
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (972) 566-7000
MRS. TRACEY DAWN MARSH RN, CPNP
Nurse Practitioner (Pediatrics)
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (972) 566-2043
KAYLA DAWN BUTLER APRN
Nurse Practitioner (Pediatrics, Critical Care)
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (405) 246-8308
MONTIELLE OVALLES
Nurse Practitioner (Pediatrics, Critical Care)
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (469) 291-6727
DR. GRANT L BURTON JR. MD
Pediatrics (Pediatric Critical Care Medicine)
7777 FOREST LN STE C300J
DALLAS, TX 75230
Dallas County (972) 566-2043

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 Jessica Sample's NPI number?

The NPI number for Jessica Sample is 1093950115. It was assigned to this individual provider in the NPPES registry on December 3, 2008.

Where is Jessica Sample located?

Jessica Sample practices at 7777 Forest Ln Ste C300j, Dallas, TX 75230. The listed phone number is (972) 566-2043.

What is Jessica Sample's specialty?

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

Is Jessica Sample enrolled in Medicare?

Yes. Jessica Sample is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Sample accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Jessica Sample 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.

When was this NPI record last updated?

The NPPES record for Jessica Sample was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.