AUTUMN DEMARIS RN
NPI 1255159273
Nurse Practitioner - Acute Care in Fort Worth, TX

Q: What is Autumn Demaris's NPI number?

The NPI number for Autumn Demaris is 1255159273. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Autumn Demaris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Autumn Demaris was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 30, 2024PECOS Enrolled

900 8TH AVE, FORT WORTH, TX 76104(203) 200-0749 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Sep 30, 2024 (2 updates tracked since 2024).

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About Autumn Demaris Rn NPPES

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

AUTUMN DEMARIS RN (NPI 1255159273) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1064819) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255159273

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameAUTUMN DEMARISCredential: RN

Location Address900 8TH AVEFort Worth, TX 76104-3902

Mailing Address5851 Legacy Cir Ste 600Plano, TX 75024-5969

Phone(203) 200-0749

Sole ProprietorNo

Enumeration DateSeptember 30, 2024

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1255159273 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 · 1064819

900 8TH AVE, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Demaris Rn 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.

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 20

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

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