JAISHREE RAGHAVAN APRN, PMHNP-BC
NPI 1295489607
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Q: What is Jaishree Raghavan's NPI number?

The NPI number for Jaishree Raghavan is 1295489607. It was assigned to this individual provider in the NPPES registry on February 5, 2022.

Q: What is Jaishree Raghavan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jaishree Raghavan was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 05, 2022PECOS EnrolledAccepts Medicare Assignment

1300 S UNIVERSITY DR STE 306, FORT WORTH, TX 76107(844) 824-8775 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2023, Feb 5, 2022 (2 updates tracked since 2022).

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About Jaishree Raghavan Aprn, Pmhnp-bc NPPES

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

JAISHREE RAGHAVAN APRN, PMHNP-BC (NPI 1295489607) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1069904) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295489607

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJAISHREE RAGHAVANCredential: APRN, PMHNP-BC

Location Address1300 S UNIVERSITY DR STE 306Fort Worth, TX 76107-5746

Mailing Address2718 Ferncrest TrlMansfield, TX 76063-7591 · (817) 713-2757

Phone(844) 824-8775

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 5, 2022

Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1295489607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1069904

1300 S UNIVERSITY DR STE 306, Fort Worth, TX 76107

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Secondary Practice Location 1

Location 12718 Ferncrest TrlMansfield, TX 76063-7591 · Phone (817) 713-2757

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaishree Raghavan Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315327681

PECOS Enrollment IDI20220704000317

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

85 services20 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

32 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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 17

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

DR. LYCHENE NMANKAN WOLO SAAH LPC

Counselor (Professional)