JACQUELINE LINVILLE
NPI 1275496580
Nurse Practitioner - Family in Grand Prairie, TX

Q: What is Jacqueline Linville's NPI number?

The NPI number for Jacqueline Linville is 1275496580. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Q: What is Jacqueline Linville's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 03, 2025PECOS Enrolled

4927 LAKE RIDGE PKWY STE 148, GRAND PRAIRIE, TX 75052(972) 960-3713 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jacqueline Linville NPPES

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

JACQUELINE LINVILLE (NPI 1275496580) is an individual family provider in Grand Prairie, Texas, licensed in Texas (1218375) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275496580

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE LINVILLE

Location Address4927 LAKE RIDGE PKWY STE 148Grand Prairie, TX 75052-3000

Mailing Address4927 Lake Ridge Pkwy Ste 148Grand Prairie, TX 75052-3000 · (972) 960-3713

Phone(972) 960-3713

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 3, 2025

NPPES CertifiedDecember 3, 2025

✔ NPI 1275496580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1218375

4927 LAKE RIDGE PKWY STE 148, Grand Prairie, TX 75052

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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)

Jacqueline Linville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981175510

PECOS Enrollment IDI20260604003235

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 Jacqueline Linville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Doctors Of North Texas PLLC

Same address

Family Medicine

4927 LAKE RIDGE PKWY STE 148
Grand Prairie, TX 75052

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1760147490 (972) 217-4203

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 75052 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 7

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

OLUWATOSIN B AJIBOLA

Nurse Practitioner (Family)