Individual provider Active NPI

Jessica Marie Custance, RN

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1659980811
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1027207 Issued in TX
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210202001299 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163836180 Reassigns benefits to 11 organizations

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
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
830019TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Group, PLLC CurrentSince Jan 3, 2023 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 15, 2025 Accepting new patients
Orthomed Staffing LLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Nov 1, 2024 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 15, 2025 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2021 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2021 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Nov 29, 2021 Accepting new patients
Ad of Texas PLLC CurrentSince Jun 21, 2025 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
South Arlington Surgical Providers, LLC CurrentSince Jan 3, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2021 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.

View all 15

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": "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.

Verify at the official NPI Registry.