Individual provider Active NPI

Jesse Gorley, M.D.

  • Psychiatry Physician
  • Wichita Falls, TX
National Provider Identifier
1346452760
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M9322 Issued in TX
Practice address
1411 9TH St.
Wichita Falls, TX 76301-4302
Phone
(940) 386-9041
Fax
(940) 448-3298
NPI assigned
May 6, 2007
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X M9322 TX Primary

Addresses

Primary practice location

1411 9TH St.
Wichita Falls, TX 76301-4302

Mailing address

1411 9TH St.
Wichita Falls, TX 76301-4302
Phone (940) 386-9041

Other practice location 1

2200 Bergquist Dr
Lackland AFB, TX 78236-9907
Phone (210) 292-5941

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
I20190912002656 TX Practitioner - Psychiatry 6800125055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jesse Gorley MD PLLCGroup PAC ID 6204165442, 6 clinicians

Practice addresses (Care Compare)

1411 9TH St
Wichita Falls, TX 76301-4302
Phone (940) 247-0338

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Gorley, M.D., PLLC Psychiatry CurrentSince Aug 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Foundations of Texoma Enterprises, PA Psychiatry PastSince Sep 12, 2021 Accepting new patients

Locations

1411 9th St
Wichita Falls, TX 76301
Phone (940) 247-0338

1714 10th St
Wichita Falls, TX 76301
Phone (940) 322-1075

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1346452760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 9TH ST.",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014302",
            "telephone_number": "940-386-9041",
            "fax_number": "940-448-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 9TH ST.",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014302",
            "telephone_number": "940-386-9041",
            "fax_number": "940-448-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Bergquist Dr",
            "address_purpose": "LOCATION",
            "city": "Lackland AFB",
            "state": "TX",
            "postal_code": "782369907",
            "country_code": "US",
            "telephone_number": "210-292-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORLEY",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M9322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.