Mrs Jessica Brooke Sample, RN, CPNP-PC in Dallas, TX

Mrs Jessica Brooke Sample, RN, CPNP-PC is a medicare enrolled "Nurse Practitioner" in Dallas, Texas. Her current practice location is 7777 Forest Ln Ste C300j, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 566-2043.

Mrs Jessica Brooke Sample is licensed to practice in Texas (license number AP117352) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093950115.

Contact Information

	Mrs Jessica Brooke Sample, RN, CPNP-PC
	7777 Forest Ln Ste C300j, Dallas, TX 75230-2604
	(972) 566-2043
	(972) 566-7437

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Brooke Sample
Gender	Female
Speciality	Nurse Practitioner
Location	7777 Forest Ln Ste C300j, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093950115
Provider Enumeration Date: 12/03/2008
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8022335926
Enrollment ID: I20150401002151

Medical Identifiers

Medical identifiers for Mrs Jessica Brooke Sample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093950115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP117352 (Texas)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	689425 (Texas)	Secondary

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. Mrs Jessica Brooke Sample allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Cardiac Intensivists Of North Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427298264 PECOS PAC ID: 0042360984 Enrollment ID: O20090615000407

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. Mrs Jessica Brooke Sample 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 Address	Practice Location Address
Mrs Jessica Brooke Sample, RN, CPNP-PC 7777 Forest Ln Ste C300j, Dallas, TX 75230-2604 Ph: (972) 566-7730	Mrs Jessica Brooke Sample, RN, CPNP-PC 7777 Forest Ln Ste C300j, Dallas, TX 75230-2604 Ph: (972) 566-2043

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Mrs Jessica Brooke Sample, RN, CPNP-PC - Medicare Nurse Practitioner in Dallas, TX