Active NPI
Jesse Gorley, M.D.
- Psychiatry Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M9322
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jesse Gorley, M.D., PLLC | Psychiatry | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Foundations of Texoma Enterprises, PA | Psychiatry | Past | 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
- 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.
-
- Psychiatry Physician
- Wichita Falls, TX
- NPI 1164083010
-
dba Foundations
- Psychiatry Physician
- Wichita Falls, TX
- NPI 1568529477
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.