Jill Darlene Pridgen, PA-C, M.S.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 01037 Issued in TX

Practice address

604 S 3Rd St
Mabank, TX 75147-2700

Phone

(903) 887-1073

NPI assigned

Jun 19, 2007

Last updated

Oct 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Physician Assistant

Education

Baylor College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reliant at Home Home health agency, Fort Worth, TX, CCN 458178
• Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292
• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpridgen72344@direct.texashealth.org

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

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824
  Care Compare affiliation
• Bridgeway Health Services LLC

  dba Reliant at Home

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1336234087
  Care Compare affiliation
• Texas Health Presbyterian Hospital Kaufman

  • General Acute Care Hospital
  • Kaufman, TX
  • NPI 1457382798
  Care Compare affiliation

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1104021013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COUNTY ROAD 2105",
            "city": "KEMP",
            "state": "TX",
            "postal_code": "751437501",
            "telephone_number": "903-432-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 3RD ST",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751472700",
            "telephone_number": "903-887-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "JILL",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 01037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Houston Moore, D.D. S.
• Brianna Felicita Mtuke, MS, CCC-SLP
• Catherine Heaton Neal, PT
• William Conrad Nekuza
• Joshua Niswonger, D.D.S.
• QV Urgent Care TX PLLC (QuickVisit Urgent Care)
• Michael David Ray, D.C.
• Marissa Reyes
• Pamela Gail Rowell, LPC
• Jason B Sapp, NP

• Physician Assistant in Mabank, TX
• Providers in Mabank, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.