Jessica Leigh Holley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08267 Issued in TX

Practice address

7011 Ribelin Ranch Rd Ste 200
Austin, TX 78750-8585

Phone

(512) 345-7436

Fax

(512) 346-7436

NPI assigned

Jan 7, 2013

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

Other names 1

• Jessica Wendt Former name

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.holley.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment Care Compare group NPD
• Lori Naglieri, MD, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1245460716
  Medicare reassignment
• Privia Medical Group Gulf Coast PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  NPD

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1588901896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 RIBELIN RANCH RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508585",
            "telephone_number": "512-345-7436",
            "fax_number": "512-346-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 RIBELIN RANCH RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508585",
            "telephone_number": "512-345-7436",
            "fax_number": "512-346-7436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Highland Falls Dr Ste 601",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786414842",
            "country_code": "US",
            "telephone_number": "512-345-7436",
            "fax_number": "512-346-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WENDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Lea Holle, APRN-BC
• Annie Holleman
• Tammy Marie Holleman, LMSW
• Dawn Bridgit Hollembeak, FNP, APRN-BC
• Susan Barnes Holler, SLP
• Jordan Alyssa Horni Holley
• Gabrielle A Holliday, M.S., LPC
• India Holliday, LCSW
• Kaelyn Grace Holliday
• Karmesha Holliday, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.