MRS. JESSICA LUCERO PNP
NPI 1790186740
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since September 09, 2014PECOS Enrolled
4405 RIVER OAKS BLVD, FORT WORTH, TX 76114(817) 624-1770(817) 625-1287 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Mrs. Jessica Lucero Pnp NPPES

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

MRS. JESSICA LUCERO PNP (NPI 1790186740) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (AP126316) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790186740
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JESSICA LUCEROCredential: PNP
Location Address4405 RIVER OAKS BLVDFort Worth, TX 76114-2326
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Fax(817) 625-1287
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1790186740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · AP126316
4405 RIVER OAKS BLVD, Fort Worth, TX 76114

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 (PECOS)

Mrs. Jessica Lucero Pnp 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 76114 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 (Pediatrics)
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Pediatrics
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Pediatrics
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Nurse Practitioner (Acute Care)
4405 RIVER OAKS BLVD
FT WORTH, TX 76114
Pediatrics
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Speech-Language Pathologist
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Nurse Practitioner (Pediatrics)
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Nurse Practitioner (Family)
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114

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 Lucero's NPI number?

The NPI number for Jessica Lucero is 1790186740. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Jessica Lucero located?

Jessica Lucero practices at 4405 River Oaks Blvd, Fort Worth, TX 76114. The listed phone number is (817) 624-1770.

What is Jessica Lucero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Lucero enrolled in Medicare?

Yes. Jessica Lucero is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Lucero accept?

Health plans from Imperial Insurance Companies, Inc. list Jessica Lucero 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 Jessica Lucero was last updated on May 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.