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JIN HEUI KUNADI
NPI 1508579806
Nurse Practitioner - Family in Fort Worth, TX

Active since January 02, 2023PECOS EnrolledAccepts Medicare Assignment
1200 WOODHAVEN BLVD, FORT WORTH, TX 76112(817) 429-8300 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jin Heui Kunadi NPPES

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

JIN HEUI KUNADI (NPI 1508579806) is an individual family provider in Fort Worth, Texas, licensed in Texas (1098361) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508579806
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJIN HEUI KUNADI
Location Address1200 WOODHAVEN BLVDFort Worth, TX 76112-2376
Mailing Address1200 Woodhaven BlvdFort Worth, TX 76112-2376
Phone(817) 429-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 2, 2023
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1508579806 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 · 1098361
1200 WOODHAVEN BLVD, Fort Worth, TX 76112
Open in Google Maps ↗

Secondary Practice Location 1

Location 14200 South Fwy Ste 106Fort Worth, TX 76115-1407 · Phone (817) 566-0505

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jin Heui Kunadi 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 ID9234598806
PECOS Enrollment IDI20230630000025
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 4

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
12 services12 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
11 services11 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76112 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 8

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

HIGHWAY 30 FAMILY MEDICAL CENTER, PA
Family Medicine
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 429-8300
PHARMED LP
Pharmacy (Community/Retail Pharmacy)
1200 WOODHAVEN BLVD
FT WORTH, TX 76112
Tarrant County (817) 507-0162
ISATU J WELLINGTON FNP-C
Nurse Practitioner (Family)
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 429-8300
ROBERT E. MURPHY FNP
Nurse Practitioner (Family)
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 429-8300
MATTHEW RAKABA
Family Medicine
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 429-8300
PHARMED L.P.
Durable Medical Equipment & Medical Supplies
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 507-0162
GAYLA M REACH NP
Nurse Practitioner (Family)
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 429-8300
YESENIA ACEVEDO PA-C
Physician Assistant
1200 WOODHAVEN BLVD
FORT WORTH, TX 76112
Tarrant County (817) 429-8300

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 Jin Heui Kunadi's NPI number?

The NPI number for Jin Heui Kunadi is 1508579806. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Jin Heui Kunadi located?

Jin Heui Kunadi practices at 1200 Woodhaven Blvd, Fort Worth, TX 76112. The listed phone number is (817) 429-8300.

What is Jin Heui Kunadi's specialty?

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

Is Jin Heui Kunadi enrolled in Medicare?

Yes. Jin Heui Kunadi 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.

What insurance does Jin Heui Kunadi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jin Heui Kunadi 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 Jin Heui Kunadi was last updated on December 18, 2023. 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.