JACQUELINE ROGERS (APRN-BC) – Family Nurse Practitioner, NPI 1629505508

JACQUELINE ROGERS (APRN-BC) is a healthcare provider. based in Duncanville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 1156829 (TX). The NPI Number for JACQUELINE ROGERS (APRN-BC) is 1629505508

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE ROGERS (APRN-BC)
NPI
1629505508
Phone
(469) 804-4133
Address
914 WAYNE AVE
Enumeration Date
22 May 2017
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9727988001
Graduation Year
2022 (4 years ago)
PAC ID
8628503737
Group Practice PAC ID
5395234199
Professional Enrollment ID
I20241126004334
Address ID
TX75238XXXXDAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for JACQUELINE ROGERS (APRN-BC)

  • 914, Wayne Avenue, Woodland Hills, Duncanville, Dallas County, Texas, 75137, United States

    DUNCANVILLE, TX 751373551

    Phone: (469) 804-4133

    Type: Location

  • 217 BRIGHTON DR

    DESOTO, TX 751156119

    Phone: (972) 809-9258

    Type: Location

  • 8035 E R L THORNTON FWY STE 235

    DALLAS, TX 752287037

    Phone: (214) 427-0934

    Fax: (214) 389-2355

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-26

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
I20241126004334INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75137)

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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: 5395234199View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
General SurgeryOH
Nurse PractitionerCA
Nurse PractitionerTX
General PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check JACQUELINE ROGERS (APRN-BC) using NPI 1629505508?
NPI 1629505508 belongs to JACQUELINE ROGERS (APRN-BC); compare other details if you need extra assurance.
Active or inactive — what applies to JACQUELINE ROGERS (APRN-BC)?
You should see JACQUELINE ROGERS (APRN-BC) as active in CMS-hosted NPPES data.
What clinical focus is listed for JACQUELINE ROGERS (APRN-BC)?
At a glance, JACQUELINE ROGERS (APRN-BC) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JACQUELINE ROGERS (APRN-BC)?
Directory geography for JACQUELINE ROGERS (APRN-BC) centers on Duncanville, Texas.
When was this NPI issued?
Enumeration for JACQUELINE ROGERS (APRN-BC) is noted as May 22, 2017 where the registry provides it.

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