ADAM JUSTICE (APRN, ACNPC-AG) – Nurse Practitioner, NPI 1225703036

ADAM JUSTICE (APRN, ACNPC-AG) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, ACNPC-AG. They hold a License No. 220881 (LA). The NPI Number for ADAM JUSTICE (APRN, ACNPC-AG) is 1225703036

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ADAM JUSTICE (APRN, ACNPC-AG)
NPI
1225703036
Phone
(903) 595-5486
Address
1133 MEDICAL DR
Enumeration Date
12 August 2021
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035955486
Graduation Year
2021 (5 years ago)
PAC ID
1557752169
Group Practice PAC ID
6901862242
Professional Enrollment ID
I20221128000809
Address ID
TX757012130TY1133XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ADAM JUSTICE (APRN, ACNPC-AG)

  • 1133 MEDICAL DR

    TYLER, TX 757012130

    Phone: (903) 595-5486

    Fax: (903) 595-5128

    Type: Mailing

  • 1453 E Bert Koun Loop

    Shreveport, LA 711056800

    Phone: (318) 681-4500

    Type: Location

  • 1000 S Beckham Ave

    Tyler, TX 757011908

    Phone: (903) 593-8441

    Type: Location

  • 11146 WESTHAVEN CIR

    FLINT, TX 757620320

    Phone:

    Type: Mailing

  • 1453 E BERT KOUN LOOP

    SHREVEPORT, LA 711056800

    Phone: (318) 681-4500

    Type: Location

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 $534.

Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($354).

Total Amount

$534

General + Research + Ownership

Payments

6

Total payment records

General Amount

$534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-11-28

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
I20221128000809INurse PractitionerTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes647100$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3332$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901862242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nephrology, Internal MedicineOK
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

How is ADAM JUSTICE (APRN, ACNPC-AG) identified in CMS data?
CMS-hosted NPPES data lists ADAM JUSTICE (APRN, ACNPC-AG) with NPI 1225703036.
Is ADAM JUSTICE (APRN, ACNPC-AG) listed as active for patients and plans?
The listing shows ADAM JUSTICE (APRN, ACNPC-AG) as active in the NPI system.
What is ADAM JUSTICE (APRN, ACNPC-AG) best known for clinically?
Directory data describes ADAM JUSTICE (APRN, ACNPC-AG) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ADAM JUSTICE (APRN, ACNPC-AG) list a practice location?
Patients near Tyler, Texas may find ADAM JUSTICE (APRN, ACNPC-AG) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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