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GRACE SYOMBUA JEDIDAH
NPI 1386375665
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since June 18, 2022PECOS EnrolledAccepts Medicare Assignment
539 W COMMERCE ST # 3213, DALLAS, TX 75208(682) 593-0477(682) 593-0477 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Syombua Jedidah NPPES

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

GRACE SYOMBUA JEDIDAH (NPI 1386375665) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1059626) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386375665
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE SYOMBUA JEDIDAH
Location Address539 W COMMERCE ST # 3213Dallas, TX 75208-1953
Mailing Address539 W Commerce St # 3213Dallas, TX 75208-1953 · (682) 593-0477 · Fax (682) 593-0477
Phone(682) 593-0477
Fax(682) 593-0477
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2022
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1386375665 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 · 1059626
539 W COMMERCE ST # 3213, Dallas, TX 75208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare 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 and accepts Medicare assignment

Grace Syombua Jedidah 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 ID4587189378
PECOS Enrollment IDI20250414003450
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 Reassignments

2

Medicare enrollment records show Grace Jedidah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mindcare Solutions Of Texas PA
184 mi
Psychiatry
901 W BEN WHITE BLVD
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Mindcare Solutions Of Texas, P.A.
  • 42 clinicians in this Medicare group
NPI 1396290730 (844) 291-4535
Mental Health Specialty Group PA
1,047 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Texas enrollment
  • 315 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 75208 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.

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 Grace Jedidah's NPI number?

The NPI number for Grace Jedidah is 1386375665. It was assigned to this individual provider in the NPPES registry on June 18, 2022.

Where is Grace Jedidah located?

Grace Jedidah practices at 539 W Commerce St # 3213, Dallas, TX 75208. The listed phone number is (682) 593-0477.

What is Grace Jedidah's specialty?

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

Is Grace Jedidah enrolled in Medicare?

Yes. Grace Jedidah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Grace Jedidah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Jedidah reassigns Medicare benefits to 2 organizations: Mindcare Solutions Of Texas PA (Austin, TX) and Mental Health Specialty Group PA (Durham, NC). Each 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 Grace Jedidah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Jedidah accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Grace Jedidah 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 Grace Jedidah was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.