NPIMap

Individual provider Active NPI

Melissa Forbes Jacobs, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1114239100
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA07478 Issued in TX
Practice address
837 FM 1960 West
Suite 105
Houston, TX 77090-0000
Phone
(281) 586-3888
Fax
(281) 440-2028
NPI assigned
Jul 8, 2010
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1535 SC
Medical Physician Assistant 363AM0700X TL1535 SC
Medical Physician Assistant 363AM0700X PA07478 TX Primary

Addresses

Primary practice location

837 FM 1960 West
Suite 105
Houston, TX 77090-0000

Mailing address

P.O. Box 4356
Department 667
Houston, TX 77210-4356
Phone (281) 586-3888

Other names 1

  • Melissa Forbes Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000199 TX Practitioner - Physician Assistant 5698967339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

13215 Dotson Rd
Houston, TX 77070-4535

17189 I 45
Suite 305
Shenandoah, TX 77385-3320
Phone (281) 351-5174

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

506 Graham Dr
Suite 150
Tomball, TX 77375-3467
Phone (281) 351-5174

7777 Forest LN
Suite C618
Dallas, TX 75230-6855
Phone (972) 566-5400

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

925 Gessner Rd
Suite 550
Houston, TX 77024-2843
Phone (713) 467-1722

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1535SCMDProfessional Counselor
TL1535SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Jun 13, 2024 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Jun 13, 2024 Accepting new patients
Emergency Physician Partners of South Carolina PLLC Past Accepting new patients
Texas Oncology PA Past Accepting new patients
Spartanburg Emergency Physicians, LLC Past Accepting new patients

Locations

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

17189 Interstate 45 S
Ste 305
Shenandoah, TX 77385
Phone (281) 351-5174

506 Graham Dr
Ste 150
Tomball, TX 77375
Phone (281) 351-5174

Interoperability endpoints

  • Direct secure messaging: melissajacobs@tusdfw.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1114239100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4356",
            "address_2": "DEPARTMENT 667",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104356",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 FM 1960 WEST",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770900000",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MELISSA",
        "middle_name": "FORBES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1535",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "TL1535",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ALLEN",
            "middle_name": "FORBES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.