Jesus Ismael Irsula Pacheco

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1089057 Issued in TX

Practice address

3434 W Illinois Ave Ste 306
Dallas, TX 75211-8813

Phone

(214) 623-1900

Fax

(214) 623-1901

NPI assigned

Jun 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powell and Fuselier Medical PLLCGroup PAC ID 0042447336, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/497617/r4

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.

• Powell and Fuselier Medical, PLLC

  • Surgery Physician
  • Denton, TX
  • NPI 1285067389
  Medicare reassignment Care Compare group NPD
• Molina Care Connections, LLC.

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  TX

  Medicare reassignment NPD
• Level Up Wellness

  • Family Medicine Physician
  • Houston, TX
  • NPI 1831910223
  NPD Authorized official
• Physicians for Children

  • Social Worker
  • Dallas, TX
  • NPI 1558771014
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1932559929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513126",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118813",
            "telephone_number": "214-623-1900",
            "fax_number": "214-623-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRSULA PACHECO",
        "first_name": "JESUS",
        "middle_name": "ISMAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "10869057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1089057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Irizarry Gatell, MD
• Benito J Irizarry, MD
• Ricardo Ruben Irizarry, M.D.
• Ironclad Laboratory Solutions LLC
• Almighty Ironnah, DO
• Carlos Irula, PHARMD
• Jacinta Irungu
• Sharon Marie Irvin, RN, WHNP-BC
• Tenesha Kay Irvin, PHARMD
• Veronica Irvine, LPA

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.