Individual provider Active NPI

Jessica Lynne Gerhart, D.C., F.N.P, R.N.

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1629398557
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127998 Issued in TX
Practice address
122 W John Carpenter Fwy Ste 105
Irving, TX 75039-2024
Phone
(972) 378-0383
Fax
(972) 403-3434
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11347 TX
Registered Nurse 163W00000X 825592 TX
Surgical Physician Assistant 363AS0400X 1143 TX
Family Nurse Practitioner 363LF0000X AP127998 TX Primary

Addresses

Primary practice location

122 W John Carpenter Fwy Ste 105
Irving, TX 75039-2024

Mailing address

1638 Brighton Blvd
Celina, TX 75009-1540
Phone (972) 689-3711

Other practice location 1

7718 Wood Hollow Dr Ste 150
Austin, TX 78731-1602
Phone (737) 304-7500

Other practice location 2

1400 W 7th St Ste 450
Fort Worth, TX 76102-2601
Phone (817) 935-8200

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
I20151015000373 TX Practitioner - Nurse Practitioner 4486894326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 W John Carpenter Fwy
Suite 105
Irving, TX 75039-2024
Phone (972) 378-0383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
825592TXMDRegistered Nurse
11347TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
VMH Solutions LLC Current Accepting new patients
Las Colinas Physical Medicine PLLC Family CurrentSince Nov 1, 2022 Accepting new patients
Sundance Physical Medicine PLLC Family PastSince Sep 20, 2022 Accepting new patients

Locations

122 W John Carpenter Fwy
Ste 105
Irving, TX 75039
Phone (972) 215-7985

122 W John Carpenter Fwy
Irving, TX 75039

290 S Preston Rd
Ste 240
Prosper, TX 75078
Phone (972) 378-0383

Interoperability endpoints

  • Direct secure messaging: dmcjgerha@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1629398557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 BRIGHTON BLVD",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091540",
            "telephone_number": "972-689-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392024",
            "telephone_number": "972-378-0383",
            "fax_number": "972-403-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7718 Wood Hollow Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787311602",
            "country_code": "US",
            "telephone_number": "737-304-7500",
            "fax_number": "737-403-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 W 7th St Ste 450",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761022601",
            "country_code": "US",
            "telephone_number": "817-935-8200",
            "fax_number": "817-887-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERHART",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "D.C., F.N.P, R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11347",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "825592",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "1143",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.