Individual provider Active NPI

Jessica Teresa Langston, P.A.

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1467638528
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05454 Issued in TX
Practice address
7200 Wyoming SPGS
1300
Round Rock, TX 78681-4303
Phone
(512) 244-2273
Fax
(512) 671-7883
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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 PA05454 TX Primary

Addresses

Primary practice location

7200 Wyoming SPGS
1300
Round Rock, TX 78681-4303

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 485-5878

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
I20100730000501 TX Practitioner - Physician Assistant 8729111539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1300
Round Rock, TX 78681-4306
Phone (512) 244-2273

7951 Shoal Creek Blvd
Suite 200
Austin, TX 78757-7581
Phone (512) 454-4588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
57.89
Promoting interoperability
96
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05454TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology PA CurrentSince Jun 1, 2010 Accepting new patients

Locations

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

3201 S Austin Ave
Ste 350
Georgetown, TX 78626
Phone (512) 930-5837

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1467638528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-485-5878",
            "fax_number": "512-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "1300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-244-2273",
            "fax_number": "512-671-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "JESSICA",
        "middle_name": "TERESA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.