Jessica Pearce, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R2940 Issued in TX

Practice address

120 N Miller Rd Ste 300
Mansfield, TX 76063-9173

Phone

(817) 303-0496

Fax

(817) 473-4329

NPI assigned

Apr 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Maxcy Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.pearce@335000925634564.direct.elationemr.com

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.

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  TX

  Medicare reassignment NPD
• Houston Area Community Services Inc.

  dba Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1285061978
  NPD
• Houston Area Community Services, Inc.

  dba Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1053539262
  NPD
• Ovum Medical, LLC

  • Complex Family Planning Physician
  • Sagle, ID
  • NPI 1205536703
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134562945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MILLER RD STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639173",
            "telephone_number": "817-303-0496",
            "fax_number": "817-473-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MILLER RD STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639173",
            "telephone_number": "817-303-0496",
            "fax_number": "817-473-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5316 NE 19th Ter",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330645639",
            "country_code": "US",
            "telephone_number": "386-506-9528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MAXCY",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Pauli, NP
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• Jenny Pearson
• Katherine Pederson, D.O.
• Pediatric Counseling of Mansfield, PLLC (Pediatric and Family Counseling of Texarkana)
• Pediatric Dentristry of Mansfield,PLLC
• Pediatric Therapy Together LLC

• Obstetrics & Gynecology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.