Jean Davi Pellegalle, APRN, FNP-C, PMHNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144507 Issued in TX

Practice address

1300 N 6TH St
Longview, TX 75601-5567

Phone

(903) 759-2922

NPI assigned

Aug 13, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Health SystemsGroup PAC ID 9234599424, shared by 6 NPIs, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jean.pellegalle.p1@direct.communityhealthcore.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1033891148

  Family

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Texarkana, TX
  • NPI 1144902602

  Family

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Gilmer, TX
  • NPI 1275215303

  Family

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Texarkana, TX
  • NPI 1396427852

  Family

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Clarksville, TX
  • NPI 1407553886

  Family

  Medicare reassignment NPD
• Sabine Valley Regional MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
  • NPI 1639232002

  Family

  Medicare reassignment NPD
• Total Point - Desoto LLC

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1104590330
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1013528884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 COUNTY ROAD 3152",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757086704",
            "telephone_number": "903-539-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015567",
            "telephone_number": "903-759-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGALLE",
        "first_name": "JEAN",
        "middle_name": "DAVI",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144507",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Allen Pearce, MD
• Rupa Peddireddy, MD
• Pediatric Dental Associates, LLP
• Pediatric Respiratory Care
• Sheri Lynn Peery, LPC
• Lindsey Penner, COTA
• Kayla Pepper
• Nigel Aloysius Pereira
• Cesar Agustin Perez, MD
• Elineida Perez, D.D.S.M.S.

• Family Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.