JESSE JUAREZ
NPI 1548019490
Nurse Practitioner - Acute Care in Fort Worth, TX

Q: What is Jesse Juarez's NPI number?

The NPI number for Jesse Juarez is 1548019490. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Q: What is Jesse Juarez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Juarez was last updated on May 15, 2024. 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.

Active since May 14, 2024PECOS EnrolledAccepts Medicare Assignment

900 8TH AVE, FORT WORTH, TX 76104(817) 336-2100 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jesse Juarez NPPES

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

JESSE JUAREZ (NPI 1548019490) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1160134) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548019490

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJESSE JUAREZ

Location Address900 8TH AVEFort Worth, TX 76104-3902

Mailing Address900 8th AveForth Worth, TX 76104-4417 · (940) 595-9899

Phone(817) 336-2100

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 14, 2024

Last NPPES UpdateMay 15, 2024

NPPES CertifiedMay 15, 2024

✔ NPI 1548019490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1160134

900 8TH AVE, Fort Worth, TX 76104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jesse Juarez 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 ID8729515879

PECOS Enrollment IDI20241231001804

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 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

$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 20

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

RANDY NGUYEN DO

Internal Medicine