Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremiah Ross, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1669068581

Jeremiah Ross, AGACNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Urgent Surgery Associates PA, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3500 Gaston Ave
Dallas, TX 75246-2017
Phone: (214) 820-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1508 Spenwick Ter, Dallas, TX 75204-5531 — (512) 460-0453

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1006757 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1006757 (TX)

Record details

NPI number1669068581
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedDecember 15, 2020
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Urgent Surgery Associates Pa — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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