Active NPI
Jason Richard Palmer, PA-C
- Medical Physician Assistant
- Corpus Christi, TX
National Provider Identifier
1659616837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110004797
- Practice address
- 10651 E St BLDG H100
Corpus Christi, TX 78419-5130 - Phone
- (361) 961-2986
- NPI assigned
- Nov 29, 2012
- Sex
- Male
- 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 | PA19468 | TX | |
| Medical Physician Assistant | 363AM0700X | 0110004797 | VA | Primary |
Addresses
Primary practice location
10651 E St BLDG H100
Corpus Christi, TX 78419-5130
Mailing address
730 Forrestal St BLDG 3775
Kingsville, TX 78363-5112
Phone (361) 516-6314
Other practice location 1
730 Forrestal St
Kingsville, TX 78363-5112
Phone (361) 516-6314
Other practice location 2
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1659616837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 FORRESTAL ST BLDG 3775",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783635112",
"telephone_number": "361-516-6314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 E ST BLDG H100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784195130",
"telephone_number": "361-961-2986"
}
],
"practiceLocations": [
{
"address_1": "730 Forrestal St",
"address_purpose": "LOCATION",
"city": "Kingsville",
"state": "TX",
"postal_code": "783635112",
"country_code": "US",
"telephone_number": "361-516-6314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-539-9582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "JASON",
"middle_name": "RICHARD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-29",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA19468",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110004797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.