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

Active since January 17, 2013PECOS Enrolled
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: August 16, 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
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

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)

Mary Jessica Fiesta Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner (Adult Health)
6301 GASTON AVE, SUITE 100, WEST TOWER
DALLAS, TX 75214
Psychiatry & Neurology (Neurology)
6301 GASTON AVE, SUITE 100 WEST TOWER
DALLAS, TX 75214
Physician Assistant
6301 GASTON AVE, STE 300&370
DALLAS, TX 75214
Chiropractor
6301 GASTON AVE
DALLAS, TX 75214
Clinic/Center
6301 GASTON AVE, SUITE 445
DALLAS, TX 75214
Obstetrics & Gynecology
6301 GASTON AVE, SUITE 370
DALLAS, TX 75214
Otolaryngology (Plastic Surgery within the Head & Neck)
6301 GASTON AVE
DALLAS, TX 75214
Dietitian, Registered
6301 GASTON AVE, SUITE 100 WEST TOWER
DALLAS, TX 75214

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 enrollment system.

What insurance does Mary Fiesta accept?

Health plans from Baylor Scott and White Health Plan 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.