Active NPI
Jessica Lynn Hanson, PA-C
- Physician Assistant
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08088
- Practice address
- 4141 Vista Rd
Pasadena, TX 77504-2113 - Phone
- (713) 947-3100
- Fax
- (713) 947-6103
- NPI assigned
- Jan 29, 2013
- Last updated
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA08088 | TX | Primary |
Addresses
Primary practice location
4141 Vista Rd
Pasadena, TX 77504-2113
Mailing address
6400 Fannin St
Suite 2070
Houston, TX 77030-1521
Phone (713) 704-6731
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274019YPXV | Other | TX | MEDICARE PTAN FOR BRAZORIA CO |
| 274019YNBT | Other | TX | MEDICARE PTAN FOR HARRIS CO |
| 00106W | Other | TX | HARRIS COUNTY GRP MDCR PTAN |
| 153449704 | Other | TX | HARRIS COUNTY GRP TPI |
| 0035TD | Other | TX | BCBSTX GRP RECORD NUMBER |
| 00X185 | Other | TX | BRAZORIA COUNTY GRP PTAN |
| DB6392 | Other | TX | GRP RAILROAD MDCR PTAN |
| 302679101 | Other | TX | BRAZORIA COUNTY GRP TPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10905 Memorial Hermann Dr
Pearland, TX 77584-3490
18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530
4141 Vista Rd
Pasadena, TX 77504-2113
Phone (713) 947-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Physicians of Texas | Current | Accepting new patients |
Locations
6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731
18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530
4141 Vista Rd
Pasadena, TX 77504
Phone (713) 947-3100
10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727
9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900
Interoperability endpoints
- jhanson65870@memorialhermann.direct-ci.com
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Shenandoah, TX
- NPI 1184714867
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Houston, TX
- NPI 1144543604
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1326386145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "SUITE 2070",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-704-6731",
"fax_number": "713-704-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 VISTA RD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042113",
"telephone_number": "713-947-3100",
"fax_number": "713-947-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN FOR BRAZORIA CO",
"identifier": "274019YPXV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN FOR HARRIS CO",
"identifier": "274019YNBT",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRIS COUNTY GRP MDCR PTAN",
"identifier": "00106W",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRIS COUNTY GRP TPI",
"identifier": "153449704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GRP RECORD NUMBER",
"identifier": "0035TD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAZORIA COUNTY GRP PTAN",
"identifier": "00X185",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP RAILROAD MDCR PTAN",
"identifier": "DB6392",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAZORIA COUNTY GRP TPI",
"identifier": "302679101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
- Erin Hammer, AGPCNP-C
- Hampel Medical Management LLC
- Ori Hampel, M.D.
- Helen Handy, PTA
- Jenny Leigh Hanning, MA, LPC
- Michelle D Hanson, FNP, RN
- Harlingen Critical Care, PA
- Harris County Hospital District (Strawberry Health Center Pharmacy)
- Harris County Psychiatric PLLC
- Harris County Public Health & Environmental Services-Southeast Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.