Individual provider Active NPI

Jennifer Jones Fischer, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1265803084
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00761 Issued in TX
Practice address
1415 California St
Houston, TX 77006-2602
Phone
(832) 548-5000
NPI assigned
Oct 20, 2015
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 PA00761 TX Primary

Addresses

Primary practice location

1415 California St
Houston, TX 77006-2602

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other practice location 1

401 Branard St Ste 300-302
Houston, TX 77006-5015
Phone (832) 548-5000

Other identifiers 1

IdentifierTypeStateIssuer
355778701MedicaidTX

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
I20160317001355 TX Practitioner - Physician Assistant 6709182793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

11529 S Hwy 6
Sugar Land, TX 77498-4932
Phone (832) 376-3921

12314 Jones Rd
Houston, TX 77070-4802
Phone (346) 646-3529

15200 Southwest Fwy
Suite 175
Sugar Land, TX 77478-3892
Phone (346) 646-3302

1600 Jackson St
Richmond, TX 77469-3248
Phone (346) 646-3526

17347 Village Green Dr
Suite 106
Jersey Village, TX 77040-1163
Phone (713) 466-0197

4005 Barker Cypress Rd
Houston, TX 77084-6802
Phone (346) 235-1975

4650 Westway Park Blvd
Houston, TX 77041-2006
Phone (713) 461-2915

6520 Westheimer Rd
A
Houston, TX 77057-5102
Phone (346) 226-2028

9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00761TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Community Health Center CurrentSince Mar 20, 2017 Accepting new patients
Spring Branch Community Health Center CurrentSince Mar 20, 2017 Accepting new patients
Villagemd of Southeast Texas, PA Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients

Locations

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

5502 1st St
Katy, TX 77493
Phone 7134626565127

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

15200 Southwest Fwy
Sugar Land, TX 77478
Phone (346) 646-3302

Interoperability endpoints

  • Direct secure messaging: jennifer.fischer.1@13711.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1265803084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CALIFORNIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062602",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Branard St Ste 300-302",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770065015",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JENNIFER",
        "middle_name": "JONES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355778701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.