Jessica Pendergast, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17528 Issued in TX

Practice address

17183 Interstate 45 S Ste 390
Shenandoah, TX 77385-3313

Phone

(936) 270-3680

NPI assigned

Oct 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMH Physicians and Surgeons, PLLCGroup PAC ID 1557586070, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jlawrence555814@directhoustonmethodist.org

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.

• TMH Physicians and Surgeons, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
  • NPI 1669894796
  Medicare reassignment Care Compare group
• Kelsey-Seybold Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1013915255
  Medicare reassignment
• Methodist Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1427235704
  NPD (past)
• TMH Physician Organization

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
  • NPI 1285684431
  NPD (past)

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

• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1578344958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 INTERSTATE 45 S STE 390",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 INTERSTATE 45 S STE 390",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGAST",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Pearce, LPC
• Ralph Purcell Pearce, M.D.
• Linda Tiffany Pearson, M.D.
• Dirk Peckhaus, DPT
• Arvin Penacerrada
• Richard Perches, M.D.
• Carlos Perez-Cosio, M.D.
• Carmen M Perez-Masuelli, M.D.,
• Petar Turcinovic MD PA
• Kimberly Thanh Xuan Ngoc Pham, MD

• Physician Assistant in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.

Verify at the official NPI Registry.