MR. JEREMY D LIU PA-C
NPI 1518774777
Physician Assistant in Fort Worth, TX

Q: What is Jeremy Liu's NPI number?

The NPI number for Jeremy Liu is 1518774777. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Q: What is Jeremy Liu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Liu was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 11, 2024PECOS EnrolledAccepts Medicare Assignment

815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, Feb 16, 2025, Dec 11, 2024 (3 updates tracked since 2024).

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About Mr. Jeremy D Liu Pa-c NPPES

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

MR. JEREMY D LIU PA-C (NPI 1518774777) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA19003) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1518774777

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JEREMY D LIUCredential: PA-C

Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2294

Mailing Address1320 S University Dr Ste 500Fort Worth, TX 76107-5732 · (817) 321-0404

Phone(817) 321-0404

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 11, 2024

Last NPPES UpdateJune 19, 20253 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1518774777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA19003

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 0 (TX)

815 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3431

Accepted Insurance

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

Mr. Jeremy D Liu Pa-c 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 ID6406374164

PECOS Enrollment IDI20250516000063

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450051

Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

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 20

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

KELLY C STARKEY M.D.

Radiology (Diagnostic Radiology)