Individual provider Active NPI

Jesse Juarez

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1548019490
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1160134 Issued in TX
Practice address
900 8TH Ave
Fort Worth, TX 76104-3902
Phone
(817) 336-2100
NPI assigned
May 14, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 1160134 TX Primary

Addresses

Primary practice location

900 8TH Ave
Fort Worth, TX 76104-3902

Mailing address

900 8TH Ave
Forth Worth, TX 76104-4417
Phone (940) 595-9899

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
I20241231001804 TX Practitioner - Nurse Practitioner 8729515879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Pulmonary Critical Care ProfessionalsGroup PAC ID 2062884471, 21 clinicians

Practice addresses (Care Compare)

10840 Texas Health TRL
Suite 260
Fort Worth, TX 76244-6850
Phone (682) 212-5440

2800 E Broad St
Suite 204
Mansfield, TX 76063-6411
Phone (682) 900-4174

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1160134TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Oct 1, 2025 Accepting new patients
Fort Worth Lung Clinic, PA Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Texas Health Physicians Group Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Texas Health Physicians Group Single Specialty Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

11803 South Fwy
Ste 136
Burleson, TX 76028
Phone (817) 293-4833

9330 Poppy Dr
Ste 300
Dallas, TX 75218
Phone (214) 324-2471

10840 Texas Health Trl
Ste 260
Fort Worth, TX 76244
Phone (682) 212-5440

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFFCD
  • Direct secure messaging: jjuarez1514409@direct.texashealth.org

Organizations & group practices 5

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 3

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1548019490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 8TH AVE",
            "city": "FORTH WORTH",
            "state": "TX",
            "postal_code": "761044417",
            "telephone_number": "940-595-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043902",
            "telephone_number": "817-336-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1160134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.