Jessica G Rausch, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0044809 Issued in FL

Practice address

14502 N Dale Mabry Hwy Ste 328
Tampa, FL 33618-2043

Phone

(813) 931-7022

Fax

(813) 931-7123

NPI assigned

Oct 14, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 4, 2023 through Jan 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jessica G. Rausch-Medina, M.D.

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1770987505
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1730279159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY STE 328",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182043",
            "telephone_number": "813-931-7022",
            "fax_number": "813-931-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY STE 328",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182043",
            "telephone_number": "813-931-7022",
            "fax_number": "813-931-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "JESSICA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0044809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "592913087336140000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Rauber, MD
• Raul F Nodal Mdpa
• Raul S Balagtas MD PA
• Raul Sierra MD PA
• Christopher Rausch, DPT
• Nirav Y. Raval, MD
• Rajendra Raval, M.D.
• Taryn N Raval, APRN
• Elein Ravelo, PHARMD
• Ravi Viradia MD LLC

• Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.