Jessica Marie Custance, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Worth, TX

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Jessica Marie Custance, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Worth, Texas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa, Northstar Anesthesia Pa, Orthomed Staffing Llc and her current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 687-0001.

Jessica Marie Custance is licensed to practice in Texas (license number 1027207) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659980811.

Contact Information

Jessica Marie Custance, RN
1400 8th Ave,
Fort Worth, TX 76104-4110
(214) 687-0001
(972) 518-2100

Map and Direction




Provider's Profile

Full NameJessica Marie Custance
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location1400 8th Ave, Fort Worth, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Marie Custance graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1659980811
  • Provider Enumeration Date: 07/23/2020
  • Last Update Date: 02/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163836180
  • Enrollment ID: I20210202001299

Medical Identifiers

Medical identifiers for Jessica Marie Custance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659980811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 830019 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered 1027207 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
U S M D Hospital At Arlington L PArlington, TXHospital
Baylor Scott & White All Saints Medical Center Fort WorthFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Iii Pa0042630501338
Northstar Anesthesia Pa7315907128265
Orthomed Staffing Llc9638429178252

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Marie Custance allows following entities to bill medicare on her behalf.
Entity NameU S Anesthesia Partners Of Texas, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208564
PECOS PAC ID: 7315850351
Enrollment ID: O20031106000563
Entity NameNorthstar Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685
Entity NameValiant Anesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588906812
PECOS PAC ID: 5092956243
Enrollment ID: O20130730000861
Entity NameArlington Anesthesia Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023483153
PECOS PAC ID: 2860798303
Enrollment ID: O20160310000125
Entity NameNorthstar Anesthesia Ii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477066405
PECOS PAC ID: 2365701737
Enrollment ID: O20180110000102
Entity NameOrthomed Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225514276
PECOS PAC ID: 9638429178
Enrollment ID: O20180905000794
Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Marie Custance is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Marie Custance, RN
Po Box 840853,
Dallas, TX 75284-0853

Ph: (214) 687-2100		Jessica Marie Custance, RN
1400 8th Ave,
Fort Worth, TX 76104-4110

Ph: (214) 687-0001

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fort Worth, TX

Mr. John Paul Schreiner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109
Phone: 817-731-2875    
Allyson Evans,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1500 S Main St, Fort Worth, TX 76104
Phone: 801-792-5267    
Terri D. Kane, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4916 Overton Plz, Fort Worth, TX 76109
Phone: 888-804-3000    Fax: 817-334-0235
Dr. Shaquitta Nicole Bell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 S Main St, Fort Worth, TX 76104
Phone: 817-702-3431    
Ms. Patricia L. Gillum, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-882-3680    Fax: 817-878-5135
Erin Lenora Schwarz, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 8th Ave, Fort Worth, TX 76104
Phone: 817-926-2544    
Anthony Casey Randolph,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 S Main St, Fort Worth, TX 76104
Phone: 817-920-6864    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.