Nidish Jose, AGNP-C - Medicare Nurse Practitioner in Fort Worth, TX

Nidish Jose, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Fort Worth, Texas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 3044 Hidden Valley Dr, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 844-7072.

Nidish Jose is licensed to practice in Texas (license number 789098) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104348903.

Contact Information

Nidish Jose, AGNP-C
3044 Hidden Valley Dr,
Fort Worth, TX 76177-2716
(469) 844-7072
(817) 697-4580

Map and Direction




Provider's Profile

Full NameNidish Jose
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location3044 Hidden Valley Dr, Fort Worth, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nidish Jose graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1104348903
  • Provider Enumeration Date: 07/13/2017
  • Last Update Date: 07/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507125713
  • Enrollment ID: I20180117000013

Medical Identifiers

Medical identifiers for Nidish Jose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104348903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 789098 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
National Nursing And Rehab Corpus ChristiCorpus christi, TXHome health agency
Dwellcare Home HealthDallas, TXHome health agency
Baylor Institute For Rehabilitation Home Health SeFlower mound, TXHome health agency
V Care Home Health IncThe colony, TXHome health agency
Angels Care Home HealthDecatur, TXHome health agency

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. Nidish Jose allows following entities to bill medicare on his behalf.
Entity NameSunnyssix Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972016384
PECOS PAC ID: 3072872282
Enrollment ID: O20180116002150
Entity NameCoastal Home Medical Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538867262
PECOS PAC ID: 6507224243
Enrollment ID: O20230628000584

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. Nidish Jose 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
Nidish Jose, AGNP-C
3044 Hidden Valley Dr,
Fort Worth, TX 76177-2716

Ph: () -
Nidish Jose, AGNP-C
3044 Hidden Valley Dr,
Fort Worth, TX 76177-2716

Ph: (469) 844-7072

Reviews and Comments


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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.