RONALD STURDIVAN NP
NPI 1104570910
Nurse Practitioner - Family in Burleson, TX

Q: What is Ronald Sturdivan's NPI number?

The NPI number for Ronald Sturdivan is 1104570910. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Q: What is Ronald Sturdivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ronald Sturdivan was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 10, 2022PECOS EnrolledAccepts Medicare Assignment

112 SW THOMAS ST STE 104, BURLESON, TX 76028(817) 580-4763(817) 993-2659 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2025, Mar 29, 2025, Feb 19, 2025 and 1 more (4 updates tracked since 2022).

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About Ronald Sturdivan Np NPPES

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

RONALD STURDIVAN NP (NPI 1104570910) is an individual family provider in Burleson, Texas, licensed in Texas (22739736) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1104570910

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRONALD STURDIVANCredential: NP

Location Address112 SW THOMAS ST STE 104Burleson, TX 76028-3818

Mailing Address528 Sky View CtBurleson, TX 76028-1380 · Fax (817) 993-2659

Phone(817) 580-4763

Fax(817) 993-2659

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 10, 2022

Last NPPES UpdateApril 15, 20254 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1104570910 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 · 22739736

112 SW THOMAS ST STE 104, Burleson, TX 76028

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Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-1451 · Fax (817) 993-2659

Other Identifiers 1

Other22739736TX · Texas Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Ronald Sturdivan Np 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 ID941671986

PECOS Enrollment IDI20230130001561

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 3

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.

43 services42 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.

16 services15 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76028 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.

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 Ronald Sturdivan's NPI number?

The NPI number for Ronald Sturdivan is 1104570910. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Ronald Sturdivan located?

Ronald Sturdivan practices at 112 SW Thomas St Ste 104, Burleson, TX 76028. The listed phone number is (817) 580-4763.

What is Ronald Sturdivan's specialty?

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

Is Ronald Sturdivan enrolled in Medicare?

Yes. Ronald Sturdivan 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 Ronald Sturdivan accept?

Health plans from Blue Cross and Blue Shield of Texas list Ronald Sturdivan 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 Ronald Sturdivan affiliated with any hospitals?

According to CMS data, Ronald Sturdivan is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Ronald Sturdivan was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.