Active NPI
Jessica Agwumaro, PA-C
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09778
- Practice address
- 3001 Palm Way Ste D134
Austin, TX 78758-7963 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Aug 11, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA09778 | TX | |
| Physician Assistant | 363A00000X | PA09778 | TX | Primary |
Addresses
Primary practice location
3001 Palm Way Ste D134
Austin, TX 78758-7963
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331
Other practice location 1
8062 Ferguson Rd
Dallas, TX 75228-5848
Phone (214) 327-6800
Other practice location 2
2201 N Central Expy Ste 125
Richardson, TX 75080-2701
Phone (214) 377-1790
Other practice location 3
2550 Gray Falls Dr Ste 150
Houston, TX 77077-6687
Phone (713) 422-2920
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385
2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901
377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945
3821 W Spring Creek Pkwy
Plano, TX 75023-3808
Phone (972) 599-0077
4501 Lemmon Ave
Dallas, TX 75219-2145
Phone (469) 672-4238
4524 W Bailey Boswell Rd
Fort Worth, TX 76179-4319
Phone (817) 720-9685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09778 | TX | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1417323643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "888-663-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 PALM WAY STE D134",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787587963",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "8062 Ferguson Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752285848",
"country_code": "US",
"telephone_number": "214-327-6800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2201 N Central Expy Ste 125",
"address_purpose": "LOCATION",
"city": "Richardson",
"state": "TX",
"postal_code": "750802701",
"country_code": "US",
"telephone_number": "214-377-1790",
"fax_number": "720-598-0440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2550 Gray Falls Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770776687",
"country_code": "US",
"telephone_number": "713-422-2920",
"fax_number": "281-720-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGWUMARO",
"first_name": "JESSICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA09778",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.