JENNIFER LARUE AGACNP-BC
NPI 1164379699
Nurse Practitioner - Acute Care in Longview, TX

Active since March 13, 2026PECOS EnrolledAccepts Medicare Assignment
323 E HAWKINS PKWY # A-1, LONGVIEW, TX 75605(903) 544-6888 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Mar 13, 2026 (2 updates tracked since 2026).

About Jennifer Larue Agacnp-bc NPPES

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

JENNIFER LARUE AGACNP-BC (NPI 1164379699) is an individual acute care provider in Longview, Texas, licensed in Texas (1229284) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164379699
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER LARUECredential: AGACNP-BC
Location Address323 E HAWKINS PKWY # A-1Longview, TX 75605-8153
Mailing Address323 E Hawkins Pkwy # A-1Longview, TX 75605-8153
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 13, 2026
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1164379699 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 · 1229284
323 E HAWKINS PKWY # A-1, Longview, TX 75605

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

Jennifer Larue Agacnp-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 ID5991271207
PECOS Enrollment IDI20260415001097
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 75605 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 Jennifer Larue's NPI number?

The NPI number for Jennifer Larue is 1164379699. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Where is Jennifer Larue located?

Jennifer Larue practices at 323 E Hawkins Pkwy # A-1, Longview, TX 75605. The listed phone number is (903) 544-6888.

What is Jennifer Larue's specialty?

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

Is Jennifer Larue enrolled in Medicare?

Yes. Jennifer Larue 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.

When was this NPI record last updated?

The NPPES record for Jennifer Larue was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.