Individual provider Active NPI

Noggy David Jaen, FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1457877151
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134217 Issued in TX
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

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP134217OtherTXLICENSE

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180215000036 TX Practitioner - Nurse Practitioner 5092075945 Reassigns benefits to 4 organizations

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
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

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 Hospital, Dallas, TX, CCN 450051

Merit-based Incentive Payment System (MIPS)

Final score
98.87 of 100Reported as group
Quality
90.89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.72
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince May 12, 2025 Accepting new patients
Dallas Nephrology Associates CurrentSince May 12, 2025 Accepting new patients
North Texas Critical Care PA CurrentSince Jan 1, 2024 Accepting new patients
Urgent Surgery Associates, P.a. CurrentSince Mar 1, 2024 Accepting new patients
Urgent Health Solutions, PLLC CurrentSince Jan 28, 2019 Accepting new patients
Simple Blessings Pediatrics & Functional Medicine, LLC Family PastSince Dec 23, 2024 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

  • Direct secure messaging: njaen76988@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.