Individual provider Active NPI

John Nuss, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1770963571
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4835 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75244-6001
Phone
(844) 539-6332
NPI assigned
Jun 5, 2015
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 NU Primary

Addresses

Primary practice location

4835 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75244-6001

Mailing address

663 Fletcher Dr
Fate, TX 75087-0510
Phone (214) 789-9158

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
I20151005002448 TX Practitioner - Physician Assistant 3870801277 Reassigns benefits to 11 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2017 Accepting new patients
Dallam-Hartley Counties Hospital District Physician Assistant CurrentSince Jun 12, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2017 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Jun 12, 2025 Accepting new patients
Lake Granbury Hospital-Based Professional Services Physician Assistant CurrentSince Oct 17, 2025 Accepting new patients
Plano Urgent Care LLC PastSince Jul 1, 2014 Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients
Comfort Care Hospice, LLC PastSince Oct 19, 2020 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

3500 Gaston Ave
Dallas, TX 75246

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

5309 E US Highway 377
Granbury, TX 76049
Phone (682) 498-6890

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

Interoperability endpoints

  • Direct secure messaging: jnuss1090404@ahs.direct-ci.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1770963571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 FLETCHER DR",
            "city": "FATE",
            "state": "TX",
            "postal_code": "750870510",
            "telephone_number": "214-789-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 LYNDON B JOHNSON FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446001",
            "telephone_number": "844-539-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSS",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.