DR. JEAN NERVA DORTILUS (M.D.) – Psychiatry Physician, NPI 1063658524

DR. JEAN NERVA DORTILUS (M.D.) is a healthcare provider. based in Waco, Texas. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. P4438 (TX). The NPI Number for DR. JEAN NERVA DORTILUS (M.D.) is 1063658524

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEAN NERVA DORTILUS (M.D.)
NPI
1063658524
Phone
(254) 424-9523
Address
3500 HILLCREST DR STE 7
Enumeration Date
5 January 2009
Last Update Date
27 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2544249523
Graduation Year
1993 (33 years ago)
PAC ID
8224362884
Professional Enrollment ID
I20190702000762
Address ID
TX767083144WA3500XDRXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

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Provider Addresses for DR. JEAN NERVA DORTILUS (M.D.)

  • Hillcrest Drive, Waco, McLennan County, Texas, 76710, United States

    WACO, TX 767083144

    Phone: (254) 424-9523

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $1,988.

Total Amount is formed as General ($1,988) + Research ($0) + Ownership ($0) = $1,988.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Neuronetics, Inc. ($529).

Total Amount

$1,988

General + Research + Ownership

Payments

93

Total payment records

General Amount

$1,988

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190702000762IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13840$0
99215Established patient office or other outpatient visit, 40-54 minutes2212$0
View full utilization report →

Insurance plans in this area (ZIP 76708)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JEAN NERVA DORTILUS (M.D.)?
DR. JEAN NERVA DORTILUS (M.D.) — NPI 1063658524 — is the standard way to identify this listing.
Does the file indicate DR. JEAN NERVA DORTILUS (M.D.) is practicing under active NPI?
Directory data currently reports DR. JEAN NERVA DORTILUS (M.D.) as active.
What taxonomy line describes DR. JEAN NERVA DORTILUS (M.D.)?
For research purposes, treat DR. JEAN NERVA DORTILUS (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JEAN NERVA DORTILUS (M.D.) serve?
DR. JEAN NERVA DORTILUS (M.D.)'s listing highlights Waco, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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