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MR. MARGARET JEAN JONES CPNP-AC/PC
NPI 1285076224
Nurse Practitioner - Pediatrics in Sherman, TX

Active since July 18, 2013PECOS Enrolled
230 E SYCAMORE ST STE 100, SHERMAN, TX 75090(903) 202-2900(903) 202-2901 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Margaret Jean Jones Cpnp-ac/pc NPPES

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

MR. MARGARET JEAN JONES CPNP-AC/PC (NPI 1285076224) is an individual pediatrics provider in Sherman, Texas, licensed in Texas (719435) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1285076224
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMR. MARGARET JEAN JONESCredential: CPNP-AC/PC
Location Address230 E SYCAMORE ST STE 100Sherman, TX 75090-5012
Mailing Address230 E Sycamore St Ste 100Sherman, TX 75090-5012 · (903) 202-2900 · Fax (903) 202-2901
Phone(903) 202-2900
Fax(903) 202-2901
Sole ProprietorNo
Enumeration DateJuly 18, 2013
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1285076224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 719435
230 E SYCAMORE ST STE 100, Sherman, TX 75090
Open in Google Maps ↗

Secondary Practice Location 1

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (972) 922-7942

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Margaret Jean Jones Cpnp-ac/pc 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 Margaret Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas
41 mi
Obstetrics & Gynecology
7800 PRESTON ROAD, SUITE 300
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1518984988 (214) 645-0624

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 75090 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.

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.

ALYSIA SHANNON HORBACZEWSKI MD
Pediatrics
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900
WESLEY DANIEL VELLOTTI APRN
Nurse Practitioner (Family)
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900
DIVYA RAJU DHOOT MD
Pediatrics
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900
MADISON COURTNEY ROBERTS CPNP-PC
Nurse Practitioner (Pediatrics)
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900
ESTEFANY ESTRADA NP
Nurse Practitioner (Pediatrics)
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900
CARISSA MAE DUDLEY PNP-PC
Nurse Practitioner (Pediatrics)
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900
PETER MICHAEL HARVEY DO
Pediatrics
230 E SYCAMORE ST STE 100
SHERMAN, TX 75090
Grayson County (903) 202-2900

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 Margaret Jones's NPI number?

The NPI number for Margaret Jones is 1285076224. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Margaret Jones located?

Margaret Jones practices at 230 E Sycamore St Ste 100, Sherman, TX 75090. The listed phone number is (903) 202-2900.

What is Margaret Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Margaret Jones enrolled in Medicare?

Yes. Margaret Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Margaret Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Jones reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Plano, 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 Margaret Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Jones accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Margaret Jones 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 Margaret Jones was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.