Active NPI
Jessica Marie Custance, RN
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1027207
- Practice address
- 1400 8TH Ave
Fort Worth, TX 76104-4110 - Phone
- (214) 687-0001
- Fax
- (972) 518-2100
- NPI assigned
- Jul 23, 2020
- Last updated
- Feb 4, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1027207 | TX | Primary |
| Registered Nurse | 163W00000X | 830019 | TX |
Addresses
Primary practice location
1400 8TH Ave
Fort Worth, TX 76104-4110
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (214) 687-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 Central Expy N
Suite 2100
Allen, TX 75013-6120
Phone (888) 324-7432
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544
5016 S US Hwy 75
Greater Houston Anesthesiology
Denison, TX 75020-4584
Phone (903) 416-4454
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830019 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Anesthesia Group, PLLC | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Northstar Anesthesia II PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valiant Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Ad of Texas PLLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| South Arlington Surgical Providers, LLC | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations (25 of 55)
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
1105 Central Expy N
Ste 2100
Allen, TX 75013
Phone (972) 747-6401
330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300
350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299
801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300
7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400
14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000
1400 8th Ave
Bldg A
Fort Worth, TX 76104
7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Austin, TX
- NPI 1730959966
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1023483153
-
- Anesthesiology Physician
- Burleson, TX
- NPI 1477066405
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1588906812
-
- Anesthesiology Physician
- Irving, TX
- NPI 1619259553
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1659352987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1659980811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "214-687-2100",
"fax_number": "972-518-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044110",
"telephone_number": "214-687-0001",
"fax_number": "972-518-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTANCE",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1027207",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "830019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.