Jennifer Vandenberg, AGACNP - Medicare Nurse Practitioner in Ft Worth, TX

Jennifer Vandenberg, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Ft Worth, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urology Partners Of North Texas, Pllc and her current practice location is 1300 W Terrell Ave, Ft Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 250-4906.

Jennifer Vandenberg is licensed to practice in Texas (license number AP143770) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518594852.

Contact Information

Jennifer Vandenberg, AGACNP
1300 W Terrell Ave,
Ft Worth, TX 76104-2820
(817) 250-4906
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Vandenberg
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1300 W Terrell Ave, Ft Worth, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Vandenberg graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1518594852
  • Provider Enumeration Date: 03/26/2020
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406287648
  • Enrollment ID: I20200504001252

Medical Identifiers

Medical identifiers for Jennifer Vandenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518594852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP143770 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jps Health NetworkFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urology Partners Of North Texas, Pllc731528345446

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. Jennifer Vandenberg allows following entities to bill medicare on her behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759
Entity NameAcclaim Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707
Entity NameUrology Partners Of North Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528537180
PECOS PAC ID: 7315283454
Enrollment ID: O20190110003363

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. Jennifer Vandenberg 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
Jennifer Vandenberg, AGACNP
125 Camouflage Cir,
Willow Park, TX 76008-1107

Ph: (817) 565-8907
Jennifer Vandenberg, AGACNP
1300 W Terrell Ave,
Ft Worth, TX 76104-2820

Ph: (817) 250-4906

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.