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

Mr. Jason Fonte Lilly-Scott, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1073051520

Mr. Jason Fonte Lilly-Scott, AGACNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2017
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Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone: (214) 648-2395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP134649 (TX)

Record details

NPI number1073051520
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedFebruary 4, 2017
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dallas