Jessica Elizabeth McCormick, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA68833 Issued in CA

Practice address

22461 Antonio Pkwy Ste 135
Rancho Santa Margarita, CA 92688-2806

Phone

(949) 207-3266

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Elizabeth Thomas Former name

Medicare fee-for-service enrollment

Enrolled in MN

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, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Advocate Urgent Care PLLCGroup PAC ID 4880043082, 18 clinicians

MN UC Providers LTDGroup PAC ID 8729461421, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Advocate Urgent Care PLLC

  • Multi-Specialty Clinic/Center
  • Zimmerman, MN
  • NPI 1568245397
  Medicare reassignment Care Compare group
• MN UC Providers LTD

  • Urgent Care Clinic/Center
  • Hopkins, MN
  • NPI 1871265074
  Medicare reassignment Care Compare group
• MN UC Providers LTD

  • Urgent Care Clinic/Center
  • Maple Grove, MN
  • NPI 1891479945
  NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1700601291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6123",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221066123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22461 ANTONIO PKWY STE 135",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882806",
            "telephone_number": "949-207-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15174",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "THOMAS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Mayer Norvilas, M.F.T., M.A.
• Alexis McAnally
• Cathy McCann, CNTP
• Shannon McCarter, M.A.
• Richard McCarthy, D.C.
• Barbra A McDowell, PH.D,
• Taylor W Medeiros, PA-C
• Mehran Rastegar-Lari, D.D.S., Inc.
• Robert Edwin Meister, DDS, MS
• Trina Melancon, D.M.D.

• Physician Assistant in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physician Assistant in California

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