Individual provider Active NPI

Jaisy Raju, FNP-BC

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1548767197
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137265 Issued in TX
Practice address
3030 Towne Centre Dr Ste 100
Mesquite, TX 75150-4134
Phone
(817) 898-7860
NPI assigned
Apr 10, 2018
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137265 TX Primary

Addresses

Primary practice location

3030 Towne Centre Dr Ste 100
Mesquite, TX 75150-4134

Mailing address

3030 Towne Centre Dr Ste 100
Mesquite, TX 75150-4134
Phone (817) 898-7860

Other identifiers 1

IdentifierTypeStateIssuer
AP137265OtherTXTEXAS BOARD OF NURSING

Other names 1

  • Jaisy Varghese Other name

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
I20260204000536 TX Practitioner - Nurse Practitioner 1052660354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3030 Towne Centre Dr
Suite 100
Mesquite, TX 75150-4134
Phone (469) 691-2288

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyvale Family Clinic Family CurrentSince Jan 6, 2026 Accepting new patients
TJS Management, LLC Past Accepting new patients

Locations

2379 Gus Thomasson Rd
Ste 100
Mesquite, TX 75150
Phone (469) 518-9677

3030 Towne Centre Dr
#100
Mesquite, TX 75150
Phone (469) 691-2288

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1548767197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 TOWNE CENTRE DR STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504134",
            "telephone_number": "817-898-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 TOWNE CENTRE DR STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504134",
            "telephone_number": "817-898-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "JAISY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP137265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAISY",
            "last_name": "VARGHESE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.