JACOB GISE - NPI 1700437753 - Nurse Practitioner in Carrollton, TX

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Jacob Gise NPPES

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

JACOB GISE (NPI 1700437753) is an individual family provider in Carrollton, Texas, licensed in Texas (AP143145) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700437753

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACOB GISE

Location Address1428 W HEBRON PKWYCarrollton, TX 75010-6345

Mailing Address1000 Sonoma DrMckinney, TX 75072-3777 · (918) 671-5630

Phone(918) 671-5630

Sole ProprietorNo

Enumeration DateSeptember 21, 2019

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1700437753 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 · AP143145

1428 W HEBRON PKWY, Carrollton, TX 75010

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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)

Jacob Gise 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 75010 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.