Individual provider Active NPI

Jacob Torre, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1679195978
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1701 River Run Ste 1118
Fort Worth, TX 76107-6557
Phone
(972) 221-7900
NPI assigned
May 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1701 River Run Ste 1118
Fort Worth, TX 76107-6557

Mailing address

6901 River Park LN N Apt 817
Fort Worth, TX 76116-1133

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
I20230107000199 TX Practitioner - Physician Assistant 7517337553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

610 S Watters Rd
Suite 130
Allen, TX 75013-5008
Phone (469) 854-3263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Geode Clinicians of Texas PLLC CurrentSince Sep 1, 2025 Accepting new patients
Cook Children'S Physician Network CurrentSince Mar 24, 2024 Accepting new patients
Cook Children'S Medical Center Past Accepting new patients

Locations

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

777 International Pkwy
Ste 260
Flower Mound, TX 75022
Phone (214) 310-0508

1701 River Run
Ste 1118
Fort Worth, TX 76107
Phone (817) 865-3954

3140 Legacy Dr
Ste 130
Frisco, TX 75034
Phone (888) 902-1704

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

4100 W University Dr
Prosper, TX 75078
Phone (682) 303-4200

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: jtorre210697@cookchildrens.direct-ci.com
  • Direct secure messaging: jacob.torre.2@25899.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1679195978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 RIVER PARK LN N APT 817",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 1118",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076557",
            "telephone_number": "972-221-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRE",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.