Active NPI
Jessica Plichta Wilson, MS, APRN-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 221394
- Practice address
- 10235 S Padre Island Dr
Corpus Christi, TX 78418-4454 - Phone
- (361) 937-1010
- Fax
- (361) 937-1296
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 735117 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 221394 | AK | Primary |
Addresses
Primary practice location
10235 S Padre Island Dr
Corpus Christi, TX 78418-4454
Mailing address
17051 Mercy Dr Ste 204
Eagle River, AK 99577-7631
Phone (361) 537-3339
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB144721 | Other | MEDICARE PTAN | |
| 221394 | Other | AK | APRN LICENSE |
| 00NP7501 | Other | TX | BC/BS-TX |
| 208391703 | Medicaid | TX |
Other names 1
- Jessica Erin Plichta
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4006 Vista Rd
Pasadena, TX 77504-2112
Phone (888) 365-6271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4885 | TX | MD | Psychiatry Physician |
| 221394 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquility Behavioral Telehealth LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Med Management Associates | Current | Accepting new patients | |
| Raul R Capitaine Mdpa | Past | Accepting new patients | |
| Oasis Counseling and Psychiatry, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
17051 Mercy Dr
Ste 204
Eagle River, AK 99577
Phone (844) 995-0577
4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 4
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.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1508233040
-
- Psychiatric/Mental Health Nurse Practitioner
- Corpus Christi, TX
- NPI 1336532464
-
- Psychiatric/Mental Health Nurse Practitioner
- Eagle River, AK
- NPI 1306488572
-
- Psychiatry Physician
- Corpus Christi, TX
- NPI 1548445075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1720158595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17051 MERCY DR STE 204",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777631",
"telephone_number": "361-537-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10235 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784184454",
"telephone_number": "361-937-1010",
"fax_number": "361-937-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JESSICA",
"middle_name": "PLICHTA",
"name_prefix": "Ms.",
"credential": "MS, APRN-PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "735117",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "221394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "TXB144721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "221394",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS-TX",
"identifier": "00NP7501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208391703",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PLICHTA",
"middle_name": "ERIN",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
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 17, 2024; 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.