NIDISH JOSE (AGNP-C) – Adult Health Nurse Practitioner, NPI 1104348903
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for NIDISH JOSE (AGNP-C)
3044 HIDDEN VALLEY DR
FORT WORTH, TX 761772716
Phone: (469) 844-7072
Fax: (817) 697-4580
Type: Location
2700 Tibbets Dr Ste 300
Bedford, TX 760225938
Phone: (817) 484-0233
Type: Location
Tibbets Drive, Bedford, Tarrant County, Texas, 76022-5841, United States
BEDFORD, TX 760225938
Phone: (817) 484-0233
Type: Location
3044, Hidden Valley Drive, Fort Worth, Tarrant County, Texas, 76177, United States
FORT WORTH, TX 761772716
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $595.
Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: ABBVIE INC. ($213).
Total Amount
$595
General + Research + Ownership
Payments
6
Total payment records
General Amount
$595
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $213 |
| Itamar Medical Inc | $123 |
| AstraZeneca Pharmaceuticals LP | $123 |
| Amgen Inc. | $117 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $19 |
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: 2018-01-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180117000013 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 135 | 75 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 113 | 113 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 62 | 42 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 56 | 40 | $0 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 53 | 35 | $0 |
Insurance plans in this area (ZIP 76177)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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