Individual provider Active NPI

Desiree Ashley Jaiman

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1215660527
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18547 Issued in TX
Practice address
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone
(972) 544-6600
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18547 TX Primary

Addresses

Primary practice location

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102

Mailing address

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001947 TX Practitioner - Physician Assistant 6608303631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

5653 McPherson Blvd
Fort Worth, TX 76123-6023
Phone (682) 354-3100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Physicians, PLLC CurrentSince Dec 22, 2025 Accepting new patients

Locations

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

5653 McPherson Blvd
Fort Worth, TX 76123
Phone (682) 354-3100

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1215660527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-544-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-544-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIMAN",
        "first_name": "DESIREE",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.