Active NPI
Jeremiah Ross, AGACNP-BC
- Acute Care Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1006757
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (214) 820-0111
- NPI assigned
- Dec 15, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1006757 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1006757 | TX |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001
Phone (469) 420-5505
Other practice location 1
1508 Spenwick Ter
Dallas, TX 75204-5531
Phone (512) 460-0453
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (214) 821-1599
2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-2303
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111
621 N Hall St
Dallas, TX 75226-1339
Phone (214) 820-0600
Hospital & facility affiliations
- Baylor Scott & White Heart & Vascular Hospital - Dallas
- Baylor University Medical Center
- Baylor Scott and White All Saints Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.87 of 100
- Quality
- 90.89
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006757 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soka Psychiatry and Wellness Company PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Urgent Surgery Associates, P.a. | Current | Accepting new patients | |
| North Texas Critical Care PA | Current | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1265863542
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1245112515
-
- Trauma Surgery Physician
- Dallas, TX
- NPI 1326077082
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1669068581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 LBJ FWY STE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446001",
"telephone_number": "469-420-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-0111"
}
],
"practiceLocations": [
{
"address_1": "1508 Spenwick Ter",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752045531",
"country_code": "US",
"telephone_number": "512-460-0453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "JEREMIAH",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1006757",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1006757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.