Active NPI
Nelson Jaeggli, M.D.
- Emergency Medicine Physician
- Dallas, TX
National Provider Identifier
1972640472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M6671
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246 - Phone
- (214) 820-0111
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M6671 | TX | |
| Emergency Medicine Physician | 207P00000X | M6671 | TX | Primary |
| Neurology Physician | 2084N0400X | CDR.0003258 | CO |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246
Mailing address
1901 N Akard St
Dallas, TX 75201-2305
Phone (211) 922-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T4085 | MD | MD | Emergency Medicine Physician |
| CDR.0003258 | CO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Neuro Trauma Physicians PLLC | Current | Accepting new patients | |
| Capitol City Emergency Staffing PA | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plano, TX
- NPI 1679402283
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
- Emergency Medical Services (Emergency Medicine) Physician
- Pflugerville, TX
- NPI 1134394307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1972640472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N AKARD ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752012305",
"telephone_number": "211-922-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "214-820-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGGLI",
"first_name": "NELSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M6671",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M6671",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "CDR.0003258",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.