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MARY JESSICA FIESTA ANP-BC
NPI 1992043517
Nurse Practitioner - Adult Health in Dallas, TX

Active since January 17, 2013PECOS EnrolledAccepts Medicare Assignment
93.65/100
CMS Quality Rating
6301 GASTON AVE, SUITE 100 WEST TOWER, DALLAS, TX 75214(214) 827-3610(214) 821-4017 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Jessica Fiesta Anp-bc NPPES

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

MARY JESSICA FIESTA ANP-BC (NPI 1992043517) is an individual adult health provider in Dallas, Texas, licensed in Texas (721121) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992043517
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY JESSICA FIESTACredential: ANP-BC
Location Address6301 GASTON AVE, SUITE 100 WEST TOWERDallas, TX 75214-3922
Mailing Address906 W Cannon St, Ste AFort Worth, TX 76104-3031 · (817) 321-0951 · Fax (817) 299-0790
Phone(214) 827-3610
Fax(214) 821-4017
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 17, 2013
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
✔ NPI 1992043517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 721121
6301 GASTON AVE, Dallas, TX 75214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Jessica Fiesta Anp-bc 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 ID648413690
PECOS Enrollment IDI20130823000788
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Fiesta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Associates Of North Texas, PA
35 mi
Diagnostic Radiology
1320 S UNIVERSITY DR
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 445 clinicians in this Medicare group
NPI 1861782740 (817) 321-0404
Clinical Care In Radiology
35 mi
Physician Assistant
1622 8TH AVE STE 120
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1578331393 (817) 321-0404
Legacy Heart Care Of Fort Worth, LLC
35 mi
Cardiovascular Disease
2500 WEST FWY STE 200
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • 61 clinicians in this Medicare group
NPI 1730120908 (817) 423-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
27 services23 patients
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.
23 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75214 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.53
Improvement Activities40

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.

CHRISTINA HAGOOD NP
Nurse Practitioner (Adult Health)
6301 GASTON AVE, SUITE 100, WEST TOWER
DALLAS, TX 75214
Dallas County (214) 827-3610
JOSEPH THEODORE PHILLIPS JR. M.D.
Psychiatry & Neurology (Neurology)
6301 GASTON AVE, SUITE 100 WEST TOWER
DALLAS, TX 75214
Dallas County (214) 827-3610
ABIGAEL RAE DOLLENS PA
Physician Assistant
6301 GASTON AVE, STE 300&370
DALLAS, TX 75214
Dallas County (469) 800-7900
ALISON EZELL D.C
Chiropractor
6301 GASTON AVE
DALLAS, TX 75214
Dallas County (972) 392-3400
ANASTASIA BENSON, DO PA
Clinic/Center
6301 GASTON AVE, SUITE 445
DALLAS, TX 75214
Dallas County (214) 810-3553
JENNIFER ANN DENNING M.D., F.A.C.O.G.
Obstetrics & Gynecology
6301 GASTON AVE, SUITE 370
DALLAS, TX 75214
Dallas County (214) 624-9674
LAKEVIEW ENT, PA
Otolaryngology (Plastic Surgery within the Head & Neck)
6301 GASTON AVE
DALLAS, TX 75214
Dallas County (806) 674-8261
CARL S CAMPBELL RD
Dietitian, Registered
6301 GASTON AVE, SUITE 100 WEST TOWER
DALLAS, TX 75214
Dallas County (214) 827-3610

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 Mary Fiesta's NPI number?

The NPI number for Mary Fiesta is 1992043517. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Mary Fiesta located?

Mary Fiesta practices at 6301 Gaston Ave Suite 100 West Tower, Dallas, TX 75214. The listed phone number is (214) 827-3610.

What is Mary Fiesta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Fiesta enrolled in Medicare?

Yes. Mary Fiesta 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.

Which organizations bill Medicare for Mary Fiesta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Fiesta reassigns Medicare benefits to 3 organizations: Radiology Associates Of North Texas, PA (Fort Worth, TX), Clinical Care In Radiology (Fort Worth, TX) and Legacy Heart Care Of Fort Worth, LLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Fiesta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Fiesta accept?

Health plans from Cigna Healthcare list Mary Fiesta 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.

Is Mary Fiesta affiliated with any hospitals?

According to CMS data, Mary Fiesta is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Mary Fiesta was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.