JESSICA MARIE CUSTANCE RN
NPI 1659980811
Nurse Anesthetist, Certified Registered in Fort Worth, TX

Active since July 23, 2020Accepts Medicare Assignment
93.85/100
CMS Quality Rating
1400 8TH AVE, FORT WORTH, TX 76104(214) 687-0001(972) 518-2100 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2021, Jan 28, 2021, Jul 23, 2020 (3 updates tracked since 2020).

About Jessica Marie Custance Rn NPPES

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

JESSICA MARIE CUSTANCE RN (NPI 1659980811) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (1027207) and active in the NPI registry since July 2020. She is affiliated with U S M D Hospital At Arlington L P and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659980811
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJESSICA MARIE CUSTANCECredential: RN
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (214) 687-2100 · Fax (972) 518-2100
Fax(972) 518-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
Last NPPES UpdateFebruary 4, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1659980811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 1027207
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 830019 (TX)
1400 8TH AVE, Fort Worth, TX 76104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Marie Custance Rn 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 ID2163836180
PECOS Enrollment IDI20210202001299

Medicare Billing Reassignments

12

Medicare enrollment records show Jessica Custance reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1400 8TH AVE # C770
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
Anesthesiology
1400 8TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
Anesthesiology
11801 SOUTH FWY
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 429 clinicians in this Medicare group
Anesthesiology
350 E INTERSTATE 20 STE 200
Arlington, TX 76018
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group
Anesthesiology
8330 STERLING ST
Irving, TX 75063
  • Reassigned Medicare billing, Texas enrollment
  • 121 clinicians in this Medicare group
Anesthesiology
14850 QUORUM DR STE 440
Dallas, TX 75254
  • Reassigned Medicare billing, Texas enrollment
  • 165 clinicians in this Medicare group
Anesthesiology
15305 DALLAS PKWY STE 900
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 513 clinicians in this Medicare group
Anesthesiology
8015 SHOAL CREEK BLVD, SUITE 300
Austin, TX 78757
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

U S M D Hospital At Arlington L P

Acute Care Hospitals · Arlington, TX
OwnershipPhysician
CMS Certification Number450872
Location801 W Interstate 20Arlington, TX 76017 · Tarrant County
Emergency services

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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.72
Improvement Activities40
Cost81.58

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.

Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104

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 Jessica Custance's NPI number?

The NPI number for Jessica Custance is 1659980811. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Jessica Custance located?

Jessica Custance practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (214) 687-0001.

What is Jessica Custance's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jessica Custance enrolled in Medicare?

Yes. Jessica Custance 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.

Which organizations bill Medicare for Jessica Custance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Custance reassigns Medicare benefits to 12 organizations: Healthtexas Provider Network (Fort Worth, TX), Symmetry Anesthesia Clinicians PLLC (Fort Worth, TX), Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX), Northstar Anesthesia II PA (Burleson, TX), Arlington Anesthesia Group, PLLC (Arlington, TX) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Custance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Custance accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Jessica Custance 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.

Is Jessica Custance affiliated with any hospitals?

According to CMS data, Jessica Custance is affiliated with U S M D Hospital At Arlington L P.

When was this NPI record last updated?

The NPPES record for Jessica Custance was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.