Individual provider Active NPI

Jessica A Hetherington, MD

  • Emergency Medicine Physician
  • Shavano Park, TX
National Provider Identifier
1184916546
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q4183 Issued in TX
Practice address
102 Lacey Oak
Shavano Park, TX 78230-5611
Phone
(917) 439-6971
NPI assigned
May 4, 2011
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q4183 TX Primary

Addresses

Primary practice location

102 Lacey Oak
Shavano Park, TX 78230-5611

Mailing address

102 Lacey Oak
Shavano Park, TX 78230-5611
Phone (917) 439-6971

Other names 1

  • Jessica Anne Hetherington Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150709002404 TX Practitioner - Emergency Medicine 7618289240 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Bexar Emergency Physicians PLLCGroup PAC ID 4981049129, 45 clinicians
Bandera Emergency Physicians PLLCGroup PAC ID 0345763744, 6 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Valley Regional Medical Center
Brownsville, TX 78526-3328
Phone (956) 350-7000

2827 Babcock Rd
San Antonio, TX 78229-4813
Phone (210) 705-6300

8703 Bandera Rd
San Antonio, TX 78250-2504
Phone (210) 332-5460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jul 6, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 18, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Sep 25, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Feb 3, 2020 Accepting new patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 18, 2025 Accepting new patients
Bandera Emergency Physicians, PLLC CurrentSince Dec 13, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Feb 3, 2020 Accepting new patients
Flow Health PC CurrentSince Oct 12, 2025 Accepting new patients

Locations

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

1903 Central Dr
Ste 215
Bedford, TX 76021
Phone (817) 508-0447

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

8101 Boat Club Rd
Ste 318
Fort Worth, TX 76179
Phone (407) 315-2271

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405

8703 Bandera Rd
San Antonio, TX 78250
Phone (210) 332-5460

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 10

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 2

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1184916546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LACEY OAK",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782305611",
            "telephone_number": "917-439-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LACEY OAK",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782305611",
            "telephone_number": "917-439-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HETHERINGTON",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.