JACKIE CHERRY
NPI 1750821872
Nurse Practitioner - Family in Fort Worth, TX

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment
900 W MAGNOLIA AVE, SUITE 201, FORT WORTH, TX 76104(817) 921-6166(817) 921-9594 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Cherry NPPES

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

JACKIE CHERRY (NPI 1750821872) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP133507) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750821872
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE CHERRY
Location Address900 W MAGNOLIA AVE, SUITE 201Fort Worth, TX 76104-8517
Mailing Address900 W Magnolia Ave, Suite 201Fort Worth, TX 76104-8517 · (817) 921-6166 · Fax (817) 921-9594
Fax(817) 921-9594
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 8, 2017
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1750821872 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 · AP133507
900 W MAGNOLIA AVE, Fort Worth, TX 76104

Accepted 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

Jackie Cherry 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 ID446537674
PECOS Enrollment IDI20170426000195
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
199 services158 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

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
$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 20

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

Nurse Practitioner (Family)
900 W MAGNOLIA AVE, SUITE 201
FORT WORTH, TX 76104
Nurse Practitioner (Family)
900 W MAGNOLIA AVE, SUITE 201
FORT WORTH, TX 76104
Nurse Practitioner (Adult Health)
900 W MAGNOLIA AVE, STE 100
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
900 W MAGNOLIA AVE, STE 100
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
900 W MAGNOLIA AVE, STE 100
FORT WORTH, TX 76104
Nurse Practitioner (Family)
900 W MAGNOLIA AVE
FORT WORTH, TX 76104
Family Medicine
900 W MAGNOLIA AVE, SUITE 201
FORT WORTH, TX 76104
Family Medicine
900 W MAGNOLIA AVE, SUITE 201
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 Jackie Cherry's NPI number?

The NPI number for Jackie Cherry is 1750821872. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Jackie Cherry located?

Jackie Cherry practices at 900 W Magnolia Ave Suite 201, Fort Worth, TX 76104. The listed phone number is (817) 921-6166.

What is Jackie Cherry's specialty?

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

Is Jackie Cherry enrolled in Medicare?

Yes. Jackie Cherry 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 Jackie Cherry accept?

Health plans from Blue Cross and Blue Shield of Texas list Jackie Cherry 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.

When was this NPI record last updated?

The NPPES record for Jackie Cherry was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.