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JODIE RAE ARCHER FNP
NPI 1942536347
Nurse Practitioner - Pediatrics in Lubbock, TX

Active since October 20, 2009PECOS Enrolled
4102 24TH ST STE 504, LUBBOCK, TX 79410(806) 743-7700(806) 743-7703 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Nov 10, 2021, Oct 23, 2018 (3 updates tracked since 2018).

About Jodie Rae Archer Fnp NPPES

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

JODIE RAE ARCHER FNP (NPI 1942536347) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (AP118590) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1942536347
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJODIE RAE ARCHERCredential: FNP
Location Address4102 24TH ST STE 504Lubbock, TX 79410-1805
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787
Phone(806) 743-7700
Fax(806) 743-7703
Sole ProprietorNo
Enumeration DateOctober 20, 2009
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1942536347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP118590
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP118590 (TX)
4102 24TH ST STE 504, Lubbock, TX 79410
Open in Google Maps ↗

Secondary Practice Location 1

Location 14102 24th St, Suite 410Lubbock, TX 79410-1806 · Phone (806) 743-7700 · Fax (806) 743-7703

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Jodie Rae Archer 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 79410 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.

Other Providers at the Same Location NPPES 5

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

LASZLO NAGY M.D.
Neurological Surgery
4102 24TH ST STE 504
LUBBOCK, TX 79410
Lubbock County (806) 743-7700
TANYA MICHELE LAIR NP
Nurse Practitioner (Pediatrics)
4102 24TH ST STE 504
LUBBOCK, TX 79410
Lubbock County (806) 743-7700
MUHITTIN BELIRGEN M.D.
Neurological Surgery
4102 24TH ST STE 504
LUBBOCK, TX 79410
Lubbock County (806) 743-7700
RAELA STANDER CPNP-PC
Nurse Practitioner (Pediatrics)
4102 24TH ST STE 504
LUBBOCK, TX 79410
Lubbock County (806) 743-7700
USIAKIMI IGBASEIMOKUMO MBBS, FRCS(C), MD
Neurological Surgery
4102 24TH ST STE 504
LUBBOCK, TX 79410
Lubbock County (806) 743-7700

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 Jodie Archer's NPI number?

The NPI number for Jodie Archer is 1942536347. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Jodie Archer located?

Jodie Archer practices at 4102 24th St Ste 504, Lubbock, TX 79410. The listed phone number is (806) 743-7700.

What is Jodie Archer's specialty?

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

Is Jodie Archer enrolled in Medicare?

Yes. Jodie Archer is registered in the Medicare PECOS enrollment system.

What insurance does Jodie Archer accept?

Health plans from Blue Cross and Blue Shield of Texas list Jodie Archer 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 Jodie Archer was last updated on December 3, 2021. 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.