Individual provider Active NPI

Jessica Maria Scarf, APRN

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1154964047
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP143524 Issued in TX
Practice address
7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone
(972) 566-7860
Fax
(972) 566-6673
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Sutker, M.D., P.a. 3 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite A331
Dallas, TX 75230-2538
Phone (972) 566-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20221210000052 TX Practitioner - Nurse Practitioner 5496124604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sutker, M.D., P.a. CurrentSince Feb 5, 2024 Accepting new patients
East Texas Community Clinic, Inc. Past Accepting new patients
Surgical Specialists of North Texas, PA Past Accepting new patients

Locations

7777 Forest Ln
Ste A331
Dallas, TX 75230
Phone (972) 566-2734

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5851/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP143524 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

7777 Forest LN Ste A331
Dallas, TX 75230-2538

Mailing address

7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone (972) 566-7860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2024.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1154964047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302538",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302538",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARF",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP143524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.