Individual provider Active NPI

Jacqueline Frances Perez, APRN

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1871067199
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88846 Issued in OK
Practice address
805 N Main St
Cleburne, TX 76033-3816
Phone
(817) 202-3976
Fax
(682) 257-9997
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 88846 OK Primary

Addresses

Primary practice location

805 N Main St
Cleburne, TX 76033-3816

Mailing address

805 N Main St
Cleburne, TX 76033-3816
Phone (817) 202-3976

Other names 1

  • Jacqueline F Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190923001288 OK Practitioner - Nurse Practitioner 0143550806 Reassigns benefits to 1 organization
I20210823001104 TX Practitioner - Nurse Practitioner 0143550806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Aug 1, 2019 Accepting new patients
Ultacare Medical PLLC CurrentSince Jun 25, 2021 Accepting new patients

Locations

1630 3rd Ave NE
Ardmore, OK 73401
Phone (580) 226-5454

1415 W 15th St
Sulphur, OK 73086
Phone (580) 622-2030

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424

2722 Old Anson Rd
Abilene, TX 79603
Phone (325) 669-7303

7100 Trail Lake Dr
Ft Worth, TX 76123
Phone (214) 363-5100

Interoperability endpoints

  • Direct secure messaging: jacqueline.miller.1@24667.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1871067199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333816",
            "telephone_number": "817-202-3976",
            "fax_number": "682-257-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333816",
            "telephone_number": "817-202-3976",
            "fax_number": "682-257-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JACQUELINE",
        "middle_name": "FRANCES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MILLER",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.