CAMERON A JURICA
NPI 1215507033
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Q: What is Cameron Jurica's NPI number?

The NPI number for Cameron Jurica is 1215507033. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Q: What is Cameron Jurica's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cameron Jurica was last updated on July 8, 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.

Active since June 25, 2021PECOS Enrolled

602 INDIANA AVE, LUBBOCK, TX 79415(361) 877-9957 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About Cameron A Jurica NPPES

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

CAMERON A JURICA (NPI 1215507033) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2021).

NPPES Registry Identity

NPI1215507033

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCAMERON A JURICA

Location Address602 INDIANA AVELubbock, TX 79415-3364

Mailing Address3601 4th St # 3a105Lubbock, TX 79430-0002 · (806) 743-2391

Phone(361) 877-9957

Sole ProprietorYes

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021

Enumeration DateJune 25, 2021

Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1215507033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

602 INDIANA AVE, Lubbock, TX 79415

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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)

Cameron A Jurica is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436629532

PECOS Enrollment IDI20260529003033

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 Reassignment

Medicare enrollment records show Cameron Jurica reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Glens Falls Hospital Inc.

1,662 mi

Family Medicine

100 PARK ST
Glens Falls, NY 12801

Reassigned Medicare billing, New York enrollment
201 clinicians in this Medicare group

NPI 1336198217 (518) 926-6999

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

Other Providers at the Same Location NPPES 20

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

WEERAPONG LILITWAT MD

Pediatrics (Pediatric Critical Care Medicine)