JEREMIAH ROSS AGACNP-BC
NPI 1669068581
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Jeremiah Ross's NPI number?

The NPI number for Jeremiah Ross is 1669068581. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Q: What is Jeremiah Ross'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 Jeremiah Ross was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 15, 2020PECOS EnrolledAccepts Medicare Assignment

3500 GASTON AVE, DALLAS, TX 75246(214) 820-0111 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Dec 15, 2020 (2 updates tracked since 2020).

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About Jeremiah Ross Agacnp-bc NPPES

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

JEREMIAH ROSS AGACNP-BC (NPI 1669068581) is an individual acute care provider in Dallas, Texas, licensed in Texas (1006757) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1669068581

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJEREMIAH ROSSCredential: AGACNP-BC

Location Address3500 GASTON AVEDallas, TX 75246-2017

Mailing Address4835 Lbj Fwy Ste 900Dallas, TX 75244-6001 · (469) 420-5505

Phone(214) 820-0111

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 15, 2020

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1669068581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1006757

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 1006757 (TX)

3500 GASTON AVE, Dallas, TX 75246

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Secondary Practice Location 1

Location 11508 Spenwick TerDallas, TX 75204-5531 · Phone (512) 460-0453

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Jeremiah Ross Agacnp-bc 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 ID9436567344

PECOS Enrollment IDI20210414000656

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

71 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

36 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Baylor Scott & White Heart & Vascular Hospital - Dallas

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450851

Location621 North Hall StreetDallas, TX 75226 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.

Pathology (Anatomic Pathology & Clinical Pathology)

3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246

Dallas County (214) 820-3772

MICHELLE CAIN AGACNP

Nurse Practitioner (Acute Care)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2050

DR. MATTHEW PAUL CLEMONS MD

Radiology (Diagnostic Radiology)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2361

ROBERT COLE FORE RN

Registered Nurse

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-0111

JAMES PIERRE D'ETIENNE MD

Emergency Medicine

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2505

DR. JO ANN F. TRAVIS M.D.

Anesthesiology

3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246

Dallas County (214) 549-4835

ASIF ZIA KHATTAK MD

Pediatrics (Neonatal-Perinatal Medicine)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-7604

FATIMA KHAN

Student in an Organized Health Care Education/Training Program

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (844) 279-3627

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 Jeremiah Ross's NPI number?

The NPI number for Jeremiah Ross is 1669068581. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Jeremiah Ross located?

Jeremiah Ross practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0111.

What is Jeremiah Ross's specialty?

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

Is Jeremiah Ross enrolled in Medicare?

Yes. Jeremiah Ross 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 Jeremiah Ross accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jeremiah Ross 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 Jeremiah Ross affiliated with any hospitals?

According to CMS data, Jeremiah Ross is affiliated with Baylor University Medical Center, Baylor Scott & White All Saints Medical Center Fort Worth and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Jeremiah Ross was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.