P Praxis·MD
● Active Type 1 · Individual

Jacquelyn E Bacchus, FNP

Nurse Practitioner·Fort Worth, TX· NPI 1831380773 · Enumerated 2007 · 18 years on NPI
Bacchus is 1 of 658 nurse practitioner providers in Fort Worth and 1 of 22123 in Texas.
NPI age
18 years
Enumerated 2007-08-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
855 Montgomery
Fort Worth, TX 761072553
📞 8177352440
Mailing address
Po Box 99335
Fort Worth, TX 761990335

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #599838LA license #03590 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (TX) 340638101
01 (TX) 8962NL BCBS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new nurse practitioner providers have been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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