Individual provider Active NPI

Jenny Bernier Fugere, DC, NP

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1679697627
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134197 Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9054OtherTXSTATE LICENSE
AP134197OtherTXTEXAS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227000097 TX Practitioner - Nurse Practitioner 3072852615 Reassigns benefits to 2 organizations

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
Revive Med Partners, LLCGroup PAC ID 7618419920, 12 clinicians

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

LicenseStateTypeSpecialty
9054TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Med Partners I LLC CurrentSince Mar 23, 2025 Accepting new patients
Revive Med Partners, LLC Chiropractor CurrentSince Apr 24, 2024 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.

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": "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

Verify at the official NPI Registry.