AMANDA JO TEJERA - NPI 1427689108 - Nurse Practitioner in Coppell, TX

Q: What is Amanda Tejera's NPI number?

The NPI number for Amanda Tejera is 1427689108. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Amanda Tejera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Tejera was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About Amanda Jo Tejera NPPES

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

AMANDA JO TEJERA (NPI 1427689108) is an individual family provider in Coppell, Texas, licensed in Texas (AP145004) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Prairie, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427689108

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA JO TEJERA

Location Address130 N DENTON TAP RD STE 140Coppell, TX 75019-2155

Mailing Address2637 Fairmont DrGrand Prairie, TX 75052-4009 · (817) 964-8349

Phone(469) 495-9130

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 30, 2020

Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1427689108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP145004

Also ListedNurse PractitionerTaxonomy 363L00000X · License F12190188 (TX)

130 N DENTON TAP RD STE 140, Coppell, TX 75019

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Secondary Practice Location 1

Location 12637 Fairmont DrGrand Prairie, TX 75052-4009 · Phone (817) 964-8349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Amanda Jo Tejera 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 ID5193181386

PECOS Enrollment IDI20230512001477

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 75019 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 5

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

ANGELICA H MONTOYA NP

Nurse Practitioner (Family)