Individual provider Active NPI

Elysia Nicole Jones, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1265092662
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14746 Issued in TX
Practice address
2222 Welborn St
Dallas, TX 75219-3924
Phone
(214) 559-5000
Fax
(214) 443-7309
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA14746 TX
Medical Physician Assistant 363AM0700X PA14746 TX
Physician Assistant 363A00000X PA14746 TX Primary

Addresses

Primary practice location

2222 Welborn St
Dallas, TX 75219-3924

Mailing address

2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000

Other practice location 1

325 Fm 548 Ste 100
Forney, TX 75126-6992
Phone (972) 771-8111

Other practice location 2

115 Fm 2453 Ste D
Royse City, TX 75189-7037
Phone (972) 771-8111

Other practice location 3

200 N Virginia St
Terrell, TX 75160-2732
Phone (972) 771-8111

Other practice location 4

731 Woodbridge Pkwy Ste 100
Wylie, TX 75098-7165
Phone (972) 771-8111

Other practice location 5

200 N Arch St
Royse City, TX 75189-8631
Phone (972) 771-8111

Other practice location 6

5700 Dallas Pkwy
Frisco, TX 75034-9580
Phone (469) 515-7100 ext. 57100

Other practice location 7

3800 Gaylord Pkwy Ste 850
Frisco, TX 75034-0248
Phone (469) 857-2222 ext. 72222

Other practice location 8

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

Other names 1

  • Elysia Fry 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122000340 TX Practitioner - Physician Assistant 3779972369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

596 E Stacy Rd
Allen, TX 75002-8763
Phone (469) 898-0199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14746TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Scottish Rite Hospital for Crippled Children CurrentSince Dec 10, 2025 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone (469) 857-2222

5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 4

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1265092662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WELBORN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193924",
            "telephone_number": "214-559-5000",
            "fax_number": "214-443-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WELBORN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193924",
            "telephone_number": "214-559-5000",
            "fax_number": "214-443-7309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Fm 2453 Ste D",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751897037",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751602732",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751898631",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750349580",
            "country_code": "US",
            "telephone_number": "469-515-7100 x57100",
            "fax_number": "469-515-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Gaylord Pkwy Ste 850",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750340248",
            "country_code": "US",
            "telephone_number": "469-857-2222 x72222",
            "fax_number": "469-857-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Summer Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750325452",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELYSIA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA14746",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14746",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSIA",
            "last_name": "FRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.