Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Larussa, MD

Individual provider Emergency Medicine Physician · NPI 1093178360

Jacquelyn Larussa, MD is an Emergency Medicine in Grapevine, Texas. Graduated from Louisiana State University School of Medicine in Shreveport in 2016, 10 years ago. Practices with Century Integrated Partners, Inc, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
TX
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1650 W College St
Grapevine, TX 76051
Phone: (817) 481-1588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 W College St, Grapevine, TX 76051 — (817) 481-1588

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence S0492 (TX)

Record details

NPI number1093178360
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2016
Last updated in NPPESAugust 8, 2019
Mailing address1601 White Willow Ln, Arlington, TX 76002-4645

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2016 (10 years in practice)
Group practice Century Integrated Partners, Inc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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