Active NPI
Noggy David Jaen, FNP
- Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP134217
- Practice address
- 1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513 - Phone
- (214) 358-2300
- Fax
- (214) 579-6983
- NPI assigned
- Aug 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134217 | TX | |
| Nurse Practitioner | 363L00000X | AP134217 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513
Mailing address
1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300
Other practice location 1
10152 Gooding Dr
Dallas, TX 75229-6254
Phone (214) 676-6069
Other practice location 2
115 W Collin St
Corsicana, TX 75110-5222
Phone (903) 602-5009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP134217 | Other | TX | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 N Beckley Ave
Suite 370 Dallas Methodist Pavillion III
Dallas, TX 75203-1259
Phone (214) 358-2300
Hospital & facility affiliations
- Methodist Dallas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.87 of 100
- Quality
- 90.89
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Nephrology Associates | Current | Accepting new patients | |
| Dallas Nephrology Associates | Current | Accepting new patients | |
| North Texas Critical Care PA | Current | Accepting new patients | |
| Urgent Surgery Associates, P.a. | Current | Accepting new patients | |
| Urgent Health Solutions, PLLC | Current | Accepting new patients | |
| Simple Blessings Pediatrics & Functional Medicine, LLC | Family | Past | Accepting new patients |
Locations
1411 N Beckley Ave
Ste 370
Dallas, TX 75203
1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012
1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200
2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627
Interoperability endpoints
- njaen76988@direct.acumenmd.com
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
- njaen1271866@direct.sw.org
Organizations & group practices 6
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.
-
- Nephrology Physician
- Dallas, TX
- NPI 1861440109
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1265863542
-
- Urgent Care Clinic/Center
- Lufkin, TX
- NPI 1164621934
-
- Trauma Surgery Physician
- Dallas, TX
- NPI 1326077082
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
-
- Family Nurse Practitioner
- Conroe, TX
- NPI 1700647310
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1457877151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LBJ FWY STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752346065",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 370",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031513",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6983"
}
],
"practiceLocations": [
{
"address_1": "10152 Gooding Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752296254",
"country_code": "US",
"telephone_number": "214-676-6069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 W Collin St",
"address_purpose": "LOCATION",
"city": "Corsicana",
"state": "TX",
"postal_code": "751105222",
"country_code": "US",
"telephone_number": "903-602-5009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAEN",
"first_name": "NOGGY",
"middle_name": "DAVID",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134217",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP134217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AP134217",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.