IRENE JIDEOFOR FNP
NPI 1700436292
Nurse Practitioner - Family in Hurst, TX

Q: What is Irene Jideofor's NPI number?

The NPI number for Irene Jideofor is 1700436292. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Q: What is Irene Jideofor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Irene Jideofor was last updated on September 24, 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 September 17, 2019PECOS Enrolled

1709 PRECINCT LINE RD, HURST, TX 76054(817) 281-0402(817) 281-6364 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2019, Sep 17, 2019 (2 updates tracked since 2019).

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About Irene Jideofor Fnp NPPES

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

IRENE JIDEOFOR FNP (NPI 1700436292) is an individual family provider in Hurst, Texas, licensed in Texas (AP142350) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1700436292

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIRENE JIDEOFORCredential: FNP

Location Address1709 PRECINCT LINE RDHurst, TX 76054-3131

Mailing Address1709 Precinct Line RdHurst, TX 76054-3131 · (817) 281-0402 · Fax (817) 281-6364

Phone(817) 281-0402

Fax(817) 281-6364

Sole ProprietorYes

Enumeration DateSeptember 17, 2019

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1700436292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP142350

1709 PRECINCT LINE RD, Hurst, TX 76054

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Secondary Practice Location 1

Location 15294 Belt Line Rd Ste 200Dallas, TX 75254-7571 · Phone (214) 785-2200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene Jideofor Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 76054 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 7

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

J. MICHAEL MERRILL, D.O., P.A.

Family Medicine