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Active NPI 1881162527 Individual Practitioner Female Practitioner

Jacqueline Moraa Mogusu

General Practice • Carrollton, TX

Professional Overview & Biography Verified Profile Summary

Jacqueline Mogusu is a registered healthcare professional specializing in General Practice in Carrollton, TX. Practice services are available at 4541 N JOSEY LN STE 110 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4541 N Josey Ln Ste 110

Carrollton, TX 750104622

Telephone 4697888588
Fax 4697887800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Carrollton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Carrollton, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
77 28 $160.32 $60.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 26 $188.92 $93.54

Medical Specialties & State Licenses

CMS Verified: 2023-11-03
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX AP138452

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TX AP138452

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP138452

Definition to come...

Secondary Practice Locations

3901 W 15th St

Plano, TX 750757738

Phone: 7068639595

1600 Coit Rd Ste 305

Plano, TX 750756172

Phone: 7068639595

4323 N Josey Ln Ste 110

Carrollton, TX 750104619

Phone: 4697888588

13472 Eastlake Blvd Ste A

Horizon City, TX 799286320

Phone: 9153136300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Biju Lukose , MD

General Practice

NPI 1053501809

Doctor of Medicine (M.D.)

Dr. David Parker , MD

Family Medicine

NPI 1194740597

Doctor of Medicine (M.D.)

Renjitha Pillai , APRN-CNP

Nurse Practitioner - Family

NPI 1265166961

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Cesar Aleman , MD

General Practice

NPI 1336172824

Doctor of Medicine (M.D.)

Kristina Resendez , NP

General Practice

NPI 1558144402

Nurse Practitioner

Sajita Shiwakoti

Nurse Practitioner

NPI 1922782200

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 03, 2023

Registered at 4541 N JOSEY LN STE 110, CARROLLTON, TX 750104622 (Tel: 4697888588)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2023

Family Medicine (License #AP138452 in TX)

📍
Updated Practice Location March 19, 2021

Registered at 1600 COIT RD STE 305, PLANO, TX 750756172 (Tel: 7068639595)

NPI Profile Active November 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2018

Registered at 3901 W 15TH ST, PLANO, TX 750757738 (Tel: 7068639595)

📍
Updated Business Mailing Address November 12, 2018

Registered at PO BOX 12187, AUGUSTA, GA 309142187 (Tel: 7068639595)

👤
Provider Name / Credentials Updated November 12, 2018

Recorded as JACQUELINE MOGUSU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2018

Nurse Practitioner (License #AP138452 in TX)

🟢
Initial NPI Registration & Enumeration November 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881162527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2018
Last Update: July 16, 2024
Sole Proprietor: No

Mailing Address

Po Box 12187

Augusta, GA 309142187

Phone: 7068639595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.