Active NPI
Jenny Bernier Fugere, DC, NP
- Family Nurse Practitioner
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134197
- Practice address
- 3303 Colorado Blvd
Denton, TX 76210-6812 - Phone
- (940) 484-1887
- NPI assigned
- Mar 16, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9054 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP134197 | TX | Primary |
Addresses
Primary practice location
3303 Colorado Blvd
Denton, TX 76210-6812
Mailing address
7611 Cassion Dr
Frisco, TX 75034-0206
Phone (214) 842-2558
Other practice location 1
9191 Kyser Way
Suite 605
Frisco, TX 75034
Phone (469) 362-6461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9054 | Other | TX | STATE LICENSE |
| AP134197 | Other | TX | TEXAS BOARD OF NURSING |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2570 FM
407 Suite 160
Highland Village, TX 75077-3055
Phone (972) 236-7060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9054 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Med Partners I LLC | Current | Accepting new patients | |
| Revive Med Partners, LLC | Chiropractor | Current | Accepting new patients |
Locations
2570 Justin Rd
Ste 160
Lewisville, TX 75077
Phone (972) 236-7060
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 and National Provider Directory roles.
-
dba Revive Primary Care & Med Spa
- Internal Medicine Physician
- Highland Village, TX
- NPI 1669237798
Chiropractor
-
- Family Medicine Physician
- Highland Village, TX
- NPI 1881400323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679697627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 CASSION DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750340206",
"telephone_number": "214-842-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 COLORADO BLVD",
"city": "DENTON",
"state": "TX",
"postal_code": "762106812",
"telephone_number": "940-484-1887"
}
],
"practiceLocations": [
{
"address_1": "9191 Kyser Way",
"address_2": "Suite 605",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "75034",
"country_code": "US",
"telephone_number": "469-362-6461",
"fax_number": "469-362-6475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUGERE",
"first_name": "JENNY",
"middle_name": "BERNIER",
"name_prefix": "Dr.",
"credential": "DC, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9054",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "9054",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "AP134197",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.