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JAKE RYAN FIELDS
NPI 1649911249
Psychiatry & Neurology - Psychiatry in Fort Worth, TX

Active since April 06, 2022PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3636 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 18, 2026, Apr 6, 2022 (2 updates tracked since 2022).

About Jake Ryan Fields NPPES

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

JAKE RYAN FIELDS (NPI 1649911249) is an individual psychiatry provider in Fort Worth, Texas, licensed in Texas (U6953) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2022).

NPPES Registry Identity

NPI1649911249
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJAKE RYAN FIELDS
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address200 W Magnolia Ave Ste 201, Suite 201Fort Worth, TX 76104-7657 · (817) 702-2977 · Fax (817) 702-2140
Phone(817) 702-3636
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1649911249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · U6953
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 S MAIN ST, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Ryan Fields is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103396486
PECOS Enrollment IDI20260528000372
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
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Jake Fields's NPI number?

The NPI number for Jake Fields is 1649911249. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Jake Fields located?

Jake Fields practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3636.

What is Jake Fields's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jake Fields enrolled in Medicare?

Yes. Jake Fields is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Fields was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.