Active NPI
Jorge Roque
- Registered Nurse
- Beaumont, TX
National Provider Identifier
1760331847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 923951
- Practice address
- 2830 Calder St
Beaumont, TX 77702-1809 - Phone
- (409) 892-7171
- NPI assigned
- Jan 22, 2026
- Last updated
- Jan 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 923951 | TX | Primary |
Addresses
Primary practice location
2830 Calder St
Beaumont, TX 77702-1809
Mailing address
4825 Caddie Springs Cir
Groves, TX 77619-2006
Phone (409) 892-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12554 Riata Vista Cir
FL 1
Austin, TX 78727-7165
5001 Lyndon B Johnson Fwy
Suite 320
Dallas, TX 75244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 923951 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1760331847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 CADDIE SPRINGS CIR",
"city": "GROVES",
"state": "TX",
"postal_code": "776192006",
"telephone_number": "409-892-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 CALDER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021809",
"telephone_number": "409-892-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "JORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "923951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.