NPPES file of Aug 9, 2026

John David Deetjen, PA-C

Physician Assistant · Fort Worth, TX

John David Deetjen, PA-C is a physician assistant with a practice address in Fort Worth, Texas, and NPI 1508556028, issued on May 9, 2023. Check the license with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1508556028
Name
John David Deetjen
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
Practice location
1201 Fairmount Ave, Fort Worth, TX 76104
Phone
(817) 335-5288
Enumerated
May 9, 2023
Record last updated
May 9, 2023
Fax
(817) 338-0927
Medicare enrollment
Enrolled (PECOS I20230725003005); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1201 Fairmount Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ariffin Alam, M.D.Pulmonary Disease Physician1659698579
  2. Emma BartramPhysician Assistant1396697645
  3. Jonathan Besas, D.O.Pulmonary Disease Physician1124400031
  4. Neda Bionghi, MD, MPHPulmonary Disease Physician1518420223
  5. Amy Bird, ACNP-BCAcute Care Nurse Practitioner1598082679
  6. Catarina Bonilla, FNPFamily Nurse Practitioner1619859899

Verify John David Deetjen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $255.88

2 payments; by number, the most common kind was food and beverage; the largest payer was Abiomed. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Deetjen$255.88
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Texas Pulmonary And Critical Care Consultants PAFort Worth, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

John David Deetjen among 10,999 physician assistant records in Texas

John David Deetjen, PA-C is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 82% of them.

  • NPI issued2023 · 82% of these records are older, 12% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2023 · median 2017 among the 6,096 with a school on file
  • Record last updated2023 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

599 physician assistant records list a practice address in Fort Worth

They are 599 of the 15,511 NPPES records with a practice address in Fort Worth, and 10,999 physician assistant records in Texas.

The 8 physician assistant records with the nearest ZIP codes

  1. Mark Arneson, PAFort Worth, TX 761041033145099
  2. Molly Boggs, PA-CFort Worth, TX 761041154369155
  3. Clyde Hartman, PAFort Worth, TX 761041154371771
  4. Ruth Kested, PAFort Worth, TX 761041407822570
  5. Karen Kindler, PA-CFort Worth, TX 761041326002205
  6. Stephanie Lawrence, PAFort Worth, TX 761041417974007
  7. Dan Person, PAFort Worth, TX 761041942234521
  8. Pamela Plake, P.A.-CFort Worth, TX 761041023018645

Common questions

What is John David Deetjen, PA-C's NPI number?

John David Deetjen, PA-C's National Provider Identifier (NPI) is 1508556028, issued on May 9, 2023. An NPI identifies a provider in billing; it is not a license.

Where is John David Deetjen, PA-C located?

The NPPES record lists a practice address at 1201 Fairmount Ave, Fort Worth, TX, 76104. Phone: (817) 335-5288. Providers update this record themselves, so call before visiting.

How can I verify John David Deetjen, PA-C's license?

Search the Texas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.