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JUSTIN DANIEL SUDBECK APRN, AGACNP-BC
NPI 1114657418
Nurse Practitioner - Acute Care in Keller, TX

Active since June 10, 2022PECOS Enrolled
1866 KELLER PKWY STE B, KELLER, TX 76248(682) 337-3810 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Daniel Sudbeck Aprn, Agacnp-bc NPPES

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

JUSTIN DANIEL SUDBECK APRN, AGACNP-BC (NPI 1114657418) is an individual acute care provider in Keller, Texas, licensed in Texas (1084140) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114657418
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJUSTIN DANIEL SUDBECKCredential: APRN, AGACNP-BC
Location Address1866 KELLER PKWY STE BKeller, TX 76248-3763
Mailing Address1220 N Knowles DrSaginaw, TX 76179-1024 · (682) 208-0984
Phone(682) 337-3810
Sole ProprietorNo
Enumeration DateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1114657418 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 · 1084140
1866 KELLER PKWY STE B, Keller, TX 76248
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Daniel Sudbeck Aprn, Agacnp-bc 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.

Medicare Billing Reassignments

2

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

Healthtexas Provider Network
4.5 mi
Family Medicine
5232 COLLEYVILLE BLVD, SUITE 100
Colleyville, TX 76034
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1235135906 (817) 498-9920
360 Cardiac Care PC
7.3 mi
Interventional Cardiology
4375 BOOTH CALLOWAY RD STE 210
North Richland Hills, TX 76180
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1801555784 (817) 678-5988

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

Areas of Expertise CMS Part B claims 4

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.
319 services276 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
160 services139 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
57 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76248 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

DR. SANJAYANTH R CHAMAKURA M.D.
Internal Medicine (Interventional Cardiology)
1866 KELLER PKWY STE B
KELLER, TX 76248
Tarrant County (682) 337-3810

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 Justin Sudbeck's NPI number?

The NPI number for Justin Sudbeck is 1114657418. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Justin Sudbeck located?

Justin Sudbeck practices at 1866 Keller Pkwy Ste B, Keller, TX 76248. The listed phone number is (682) 337-3810.

What is Justin Sudbeck's specialty?

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

Is Justin Sudbeck enrolled in Medicare?

Yes. Justin Sudbeck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Sudbeck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Sudbeck reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Colleyville, TX) and 360 Cardiac Care PC (North Richland Hills, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Sudbeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Sudbeck was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.