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SUZANA M JENSEN DO
NPI 1215674106
Pediatrics in Fort Worth, TX

Active since May 12, 2022PECOS Enrolled
1263 W ROSEDALE ST STE 200, FORT WORTH, TX 76104(817) 336-4896(817) 332-2805 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2025, Jun 10, 2025, May 12, 2022 (3 updates tracked since 2022).

About Suzana M Jensen Do NPPES

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

SUZANA M JENSEN DO (NPI 1215674106) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (V7537) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215674106
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUZANA M JENSENCredential: DO
Location Address1263 W ROSEDALE ST STE 200Fort Worth, TX 76104-2837
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(817) 336-4896
Fax(817) 332-2805
Sole ProprietorNo
Enumeration DateMay 12, 2022
Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1215674106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · V7537
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1263 W ROSEDALE ST STE 200, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Former Name (1)Suzana Marie Signaigo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzana M Jensen Do 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 Reassignment

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

Cook Children's Physician Network
0.3 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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 3

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

LACY PITCHFORD CPNP
Nurse Practitioner (Primary Care)
1263 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 336-4896
FRANK T MCGEHEE JR. MD
Pediatrics
1263 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 336-4896
MARY K POWDERLY MD
Pediatrics
1263 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 336-4896

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 Suzana Jensen's NPI number?

The NPI number for Suzana Jensen is 1215674106. It was assigned to this individual provider in the NPPES registry on May 12, 2022. The provider is also known as Suzana Marie Signaigo.

Where is Suzana Jensen located?

Suzana Jensen practices at 1263 W Rosedale St Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 336-4896.

What is Suzana Jensen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suzana Jensen enrolled in Medicare?

Yes. Suzana Jensen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzana Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzana Jensen reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Suzana Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzana Jensen accept?

Health plans from Imperial Insurance Companies, Inc. list Suzana Jensen 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 Suzana Jensen was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.